A nurse teaching a client diagnosed with benign prostatic hyperplasia (BPH). What statement indicates the client needs further information?
“There should be no problem with drinking wine with dinner each night.”
“I am so glad that I weaned myself off of coffee about a year ago.”
“I need to inform my allergist that I cannot take my normal antihistamine.”
“My routine of drinking a quart (litter) of water first thing in the morning needs to change.”
The Correct Answer is A
A. “There should be no problem with drinking wine with dinner each night.”: Alcohol can irritate the bladder and worsen urinary symptoms in clients with BPH, including urgency, frequency, and nocturia. This statement indicates the client needs further education about dietary and lifestyle modifications to manage symptoms.
B. “I am so glad that I weaned myself off of coffee about a year ago.”: Caffeine can exacerbate urinary symptoms, so avoiding coffee demonstrates understanding of symptom management. No further teaching is needed for this statement.
C. “I need to inform my allergist that I cannot take my normal antihistamine.”: Antihistamines can cause urinary retention in BPH clients, so informing the provider shows understanding of potential medication-related complications.
D. “My routine of drinking a quart (liter) of water first thing in the morning needs to change”: Excessive fluid intake at once can worsen urinary frequency and urgency. Recognizing the need to adjust this habit shows appropriate understanding of BPH management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hematuria: Blood in the urine may indicate serious complications such as infection, kidney damage, or possible malignancy. Prompt evaluation is required to rule out life-threatening conditions.
B. Weak urinary stream: This is a common symptom of benign prostatic hyperplasia (BPH) and generally does not require immediate intervention, though it should be monitored.
C. Postvoid dribbling: Dribbling after urination is a typical sign of prostate enlargement and usually indicates incomplete bladder emptying. It requires monitoring but is not an emergency.
D. Urinary hesitancy: Difficulty initiating urination is a common symptom of BPH. It can affect quality of life but typically does not require urgent action unless accompanied by acute urinary retention.
Correct Answer is C
Explanation
A. “I wake up coughing every night.”: Nocturnal cough is more indicative of left-sided heart failure due to pulmonary congestion, not right-sided heart failure.
B. “I sleep with 2 pillows at night.”: Needing multiple pillows (orthopnea) suggests pulmonary congestion associated with left-sided heart failure rather than right-sided failure.
C. “My shoes fit really tight lately.”: Peripheral edema, such as swelling in the feet and ankles that makes shoes tight, is a hallmark of right-sided heart failure. Fluid backs up into the systemic circulation, causing this symptom.
D. “I have trouble catching my breath.”: Dyspnea can occur in both left- and right-sided heart failure, but it is more specific to left-sided failure due to pulmonary congestion. Peripheral edema is more directly indicative of right-sided failure.
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