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The nurse is assessing a client in the clinic. Which assessment findings indicate that the client may have benign prostatic hyperplasia (BPH)? (Select all that apply)

Nocturia

Urinary dribbling

Urinary frequency

Elevated temperature

Weak stream

Answer and Explanation

Correct Answer : A,B,C,E

A. Nocturia (frequent urination at night) is a common symptom of BPH due to incomplete bladder emptying.

B. Urinary dribbling can occur as the enlarged prostate obstructs urine flow.

C. Urinary frequency results from decreased bladder capacity and incomplete emptying caused by the obstruction.

D. Elevated temperature is not a typical sign of BPH; it may indicate infection such as a urinary tract infection, not BPH itself.

E. Weak urinary stream occurs due to obstruction of the urethra by the enlarged prostate.

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Correct Answer is B

Explanation

A. Documentation and monitoring are important but not the immediate priority in an unstable, potentially life-threatening situation.
B. The nurse’s first priority is to assess for signs of hypovolemic shock (tachycardia, hypotension, tachypnea) due to bleeding and perforation. This guides urgent interventions to stabilize the client.
C. Drawing labs is appropriate but not the priority before assessing airway, breathing, and circulation (ABCs).
D. The client should not be placed prone; maintaining supine or semi-Fowler’s positioning is safer while preparing for possible surgery.

A. The client with hypovolemic shock following surgery. B. The client taking NSAIDs every 8 hours for arthritis pain. C. The client recovering from acute glomerulonephritis D. The client diagnosed with benign prostatic hyperplasia

Correct Answer is D

Explanation

A. Hypovolemic shock causes decreased renal perfusion and is associated with prerenal acute kidney injury, not post renal.

B. Long-term NSAID use can cause intrarenal acute kidney injury by damaging renal tissue through inhibition of prostaglandin synthesis and decreased renal blood flow.

C. Acute glomerulonephritis results in intrarenal acute kidney injury due to inflammation and damage to the glomeruli.

D. Benign prostatic hyperplasia (BPH) can cause urinary tract obstruction by compressing the urethra, leading to urinary retention and backflow of urine into the kidneys. This obstruction results in post renal acute kidney injury.

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The nurse is assessing a client in the clinic. Which assessment findings indicate that the client may have benign prostatic hyperplasia (BPH)? (Select all that apply)

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