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?

A. Preventing recurrent urinary tract infections is not the primary purpose of combination therapy with an alpha-blocker and a 5-alpha reductase inhibitor.

B. While some improvement in erectile function may occur with alpha-blockers, the primary purpose of the combination therapy is not to address erectile dysfunction.

C. This is the correct answer. The combination of an alpha-blocker and a 5-alpha reductase inhibitor is used to enhance the effects of both medications. Alpha-blockers help relieve urinary symptoms quickly by relaxing the smooth muscles of the prostate and bladder neck, while 5-alpha reductase inhibitors work over time to shrink the prostate and improve urinary flow.

D. Reducing the risk of urinary incontinence is not the primary goal of combination therapy with these medications.

Questions

A. Acute urinary retention is characterized by the sudden inability to pass urine, resulting in severe pain and discomfort. Difficulty starting a urine stream and a weak urine flow are characteristic of obstructive voiding symptoms, not acute urinary retention.

B. Urinary incontinence refers to the involuntary loss of urine and is not associated with difficulty starting a urine stream or a weak urine flow.

C. Stress urinary incontinence is a type of urinary incontinence characterized by urine leakage during activities that increase intra-abdominal pressure, such as coughing, sneezing, or laughing. It is not related to the symptoms described in the question.

D. This is the correct answer. Difficulty starting a urine stream and a weak urine flow are obstructive voiding symptoms commonly seen in clients with BPH due to the enlargement of the prostate gland, which obstructs the urethra.