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?

"I will schedule a follow-up appointment in two years."

"I should return for a follow-up appointment in six months."

"I can skip follow-up appointments if I'm feeling better."

"I only need to see the healthcare provider if new symptoms arise."

Answer and Explanation

The Correct Answer is B

A. Scheduling a follow-up appointment in two years is too long of an interval for a client with BPH. Regular follow-up is essential for monitoring the condition and adjusting the treatment plan as needed.

B. This is the correct answer. Clients with BPH should have regular follow-up appointments, typically every six months, to monitor symptoms and treatment effectiveness.

C. Skipping follow-up appointments, even if the client is feeling better, is not advisable. Regular monitoring is essential to ensure optimal management of BPH.

D. Waiting for new symptoms to arise before seeking a follow-up appointment may delay necessary interventions and could lead to worsening of symptoms.

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Correct Answer is D

Explanation

A. Reduced 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. Increased fluid intake is not directly related to the risk of recurrent UTIs in BPH.

C. Decreased prostate size is not associated with recurrent UTIs in BPH.

D. 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.

A. Digital rectal exam (DRE) B. Prostate-specific antigen (PSA) blood test C. Transrectal ultrasound (TRUS) D. Urinalysis

Correct Answer is A

Explanation

A) This is the correct answer. A digital rectal exam (DRE) involves the insertion of a gloved, lubricated finger into the rectum to feel the size, shape, and texture of the prostate gland. It helps assess for enlargement and any abnormalities.

B) The prostate-specific antigen (PSA) blood test measures the level of PSA in the blood, which may be elevated in various prostate conditions, including BPH. However, it does not directly assess the size and shape of the prostate gland.

C) Transrectal ultrasound (TRUS) uses sound waves to create images of the prostate gland and is used to assess the prostate's size and identify any abnormalities.

D) Urinalysis is a urine test that evaluates the urine's physical and chemical properties but does not directly assess the size and shape of the prostate gland.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with BPH is experiencing recurrent urinary tract infections (UTIs). The nurse should identify which factor as contributing to this complication?

Correct Answer is D

Explanation

A nurse is reviewing the diagnostic tests used to confirm BPH in a client. Which test directly assesses the size and shape of the prostate gland?

Correct Answer is A

Explanation

A nurse is educating a client about the symptoms of BPH. Which symptom should the nurse include in the teaching as a potential complication of BPH?

A client with BPH complains of dribbling and difficulty fully emptying the bladder after urination. The nurse should identify these symptoms as indicative of:

A client with BPH is experiencing urinary frequency and nocturia. The nurse should advise the client to limit fluid intake at which time of the day to reduce nighttime awakenings?

A client with BPH is prescribed a combination therapy of an alpha-blocker and a 5-alpha reductase inhibitor. The nurse should explain that this combination is used to:

A client with BPH is experiencing acute urinary retention and is unable to void. The nurse should anticipate the healthcare provider to recommend:

A nurse is preparing a client for a transrectal ultrasound (TRUS) to evaluate the prostate gland. What information should the nurse provide to the client about the procedure?

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