A nurse is reviewing the results of a client's urinalysis as part of the diagnostic evaluation for BPH. Which finding should the nurse expect to be associated with BPH?

Presence of glucose in the urine

Elevated white blood cell count

Presence of bacteria in the urine

Hematuria (blood in the urinE.

Answer and Explanation

The Correct Answer is D

A. The presence of glucose in the urine is indicative of diabetes mellitus and is not directly related to BPH.

B. An elevated white blood cell count in the urine may indicate a urinary tract infection or inflammation but is not specific to BPH.

C. The presence of bacteria in the urine is indicative of a urinary tract infection and is not specific to BPH.

D. This is the correct answer. Hematuria (blood in the urinE. can be associated with BPH due to irritation or trauma to the urinary tract caused by the enlarged prostate. Hematuria may be gross (visiblE. or microscopic and should be further evaluated to determine its cause.

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Correct Answer is B

Explanation

A. Alpha-blockers do not directly reduce the size of the prostate gland. They work by relaxing the smooth muscles of the bladder neck and prostate, improving urinary flow and reducing obstructive voiding symptoms.

B. This is the correct answer. Alpha-blockers are commonly prescribed for BPH to relax the smooth muscles of the bladder neck and prostate, relieving the obstruction and improving urine flow.

C. Inhibiting the production of dihydrotestosterone (DHT) is the mechanism of action of 5-alpha reductase inhibitors, not alpha-blockers. DHT plays a role in prostate enlargement, and inhibiting its production can reduce the size of the prostate over time.

D. Alpha-blockers do not enhance urine production by the kidneys. They primarily focus on relaxing the smooth muscles to improve urinary flow.

Questions

A. Increased urine output B. Residual urine in the bladder C. Decreased fluid intake D. Reduced bladder capacity

Correct Answer is B

Explanation

A. Increased urine output is not a contributing factor to recurrent UTIs. In BPH, the urinary flow is obstructed, leading to incomplete bladder emptying and residual urine in the bladder, which can increase the risk of UTIs.

B. This is the correct answer. Residual urine in the bladder after voiding provides a breeding ground for bacteria, increasing the risk of UTIs. In BPH, the enlarged prostate obstructs the urethra, leading to incomplete bladder emptying and the presence of residual urine, which contributes to recurrent UTIs.

C. Decreased fluid intake may contribute to urinary stasis and an increased risk of UTIs, but it is not specific to BPH.

D. Reduced bladder capacity is not a contributing factor to recurrent UTIs in BPH.

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A nurse is reviewing the results of a client's urinalysis as part of the diagnostic evaluation for BPH. Which finding should the nurse expect to be associated with BPH?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with BPH who has been prescribed an alpha-blocker. The nurse should anticipate that this medication will primarily work by:

Correct Answer is B

Explanation

A client with BPH is experiencing recurrent urinary tract infections (UTIs). The nurse should recognize that this complication is likely due to:

Correct Answer is B

Explanation

A client with BPH is experiencing recurrent episodes of hematuria. The nurse should recognize this as a potential complication due to:

A nurse is caring for a client with BPH who suddenly reports severe pain in the lower abdomen, groin, and testicles. The nurse should suspect:

A nurse is providing education to a client diagnosed with BPH. The nurse explains that the initial management of BPH may involve:

A client reports a sensation of incomplete bladder emptying and a feeling of "fullness" in the lower abdomen. The nurse should document this as:

A client with lower urinary tract symptoms (LUTS) seeks medical advice. The nurse anticipates that the initial diagnostic evaluation for BPH will likely include:

A client with BPH is prescribed a 5-alpha reductase inhibitor. The nurse should instruct the client that this medication works by:

A nurse is teaching a client with BPH about the importance of regular follow-up appointments. Which statement by the client indicates understanding of the teaching?