Exhibits
The nurse educates the client about living with benign prostate hyperplasia (BPH).
Select the 3 areas of teaching that should be included when providing education to the client with symptomatic benign prostate hyperplasia.
Urinate every 4 to 6 hours or when you first feel the urge.
Decrease fluid intake to lessen the severity of symptoms.
Limit your intake of alcohol and caffeine.
Refrain from exercise because it can lead to incontinent episodes.
Avoid cough or cold remedies that contain pseudoephedrine or phenylephrine.
Schedule yearly prostate-specific antigen blood test.
Correct Answer : A,C,E
A. Urinate every 4 to 6 hours or when you first feel the urge: Regular urination helps prevent bladder overdistention and can reduce the risk of urinary retention and incontinence episodes.
B. Decrease fluid intake to lessen the severity of symptoms: While it might seem logical to reduce fluid intake to decrease urinary frequency, it is essential to maintain adequate hydration. Instead, fluid intake should be managed appropriately, avoiding large volumes at one time, particularly in the evening.
C. Limit your intake of alcohol and caffeine: Alcohol and caffeine can irritate the bladder and increase urinary frequency and urgency, exacerbating BPH symptoms.
D. Refrain from exercise because it can lead to incontinent episodes: Exercise is beneficial for overall health and can help manage weight, which is important for BPH management. Clients should be encouraged to exercise regularly.
E. Avoid cough or cold remedies that contain pseudoephedrine or phenylephrine: These medications can constrict the urethra, worsening urinary retention and other BPH symptoms.
F. Schedule yearly prostate-specific antigen blood test: While monitoring PSA levels can be part of managing prostate health, it is not specific to daily living with symptomatic BPH and thus not one of the top three areas of education in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Substituting natural fruit juices for carbonated drinks can help reduce the intake of purines and decrease the risk of gout attacks. Carbonated drinks can contribute to dehydration and worsen gout.
B. High protein foods can increase uric acid levels and exacerbate gout, so this is not a recommended dietary practice for managing gout.
C. Reporting right upper quadrant discomfort is important for liver function monitoring but not directly related to the management of gout symptoms.
D. Using an electric heating pad might provide temporary relief but does not address the underlying issue of uric acid levels or dietary management.
Correct Answer is B
Explanation
A.
In end-stage kidney failure, nephron damage is permanent and irreversible. Increasing protein does not restore kidney function.
B. Clients with end-stage kidney disease (ESKD) who are receiving dialysis require increased protein intake. Dialysis removes not only waste products but also amino acids and proteins. Without adequate protein intake, the client is at risk for malnutrition, muscle wasting, poor wound healing, and decreased energy. Therefore, protein intake is increased to replace losses and maintain nutritional status.
C. Protein restriction is appropriate in earlier stages of chronic kidney disease to reduce workload on the kidneys. However, once the client is on dialysis, protein needs increase.
D. Protein intake should be decreased to prevent the buildup of nitrogenous wastes, which the failing kidneys cannot adequately filter. Dialysis can help remove these wastes, but dietary management is still crucial.
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