The nurse is assessing a male client for symptoms of benign prostatic hyperplasia (BPH). The nurse should ask the client about which of the following?
Hesitancy in starting urination.
Dribbling with urination.
Nocturia.
Decreased urine stream.
Urinary frequency.
Correct Answer : A,B,C,D,E
Choice A rationale
Hesitancy in starting urination occurs due to obstruction of the urethra by an enlarged prostate. It reflects the mechanical impact of benign prostatic hyperplasia (BPH) on urinary flow and is a classic symptom of this condition.
Choice B rationale
Dribbling with urination indicates incomplete bladder emptying due to urethral compression by the enlarged prostate. It is a characteristic symptom of BPH and can lead to complications like urinary retention.
Choice C rationale
Nocturia, or frequent urination at night, is caused by incomplete bladder emptying and increased nighttime urine production. It is a common symptom of BPH that significantly affects quality of life.
Choice D rationale
A decreased urine stream results from partial urethral obstruction by the enlarged prostate, limiting the flow of urine. This symptom is a hallmark of BPH and reflects progressive narrowing of the urinary tract.
Choice E rationale
Urinary frequency is due to incomplete bladder emptying and irritative symptoms associated with BPH. Frequent voiding is common and often prompts medical evaluation for prostate enlargement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["12"]
Explanation
Step 1 is (176 pounds ÷ 2.2 pounds/kg) × 10 mcg/kg/min = 800 mcg/min.
Step 2 is (800 mcg ÷ 1000 mcg/mg) × 250 mL = 0.2 mL/min.
Step 3 is 0.2 mL/min × 60 min = 12 mL/hour. Final answer: 12 mL/hour.
Correct Answer is D
Explanation
Choice A rationale
Serum electrolyte analysis provides insights into fluid and electrolyte balance but does not specifically diagnose heart failure. Electrolyte changes may occur secondary to heart failure but are not definitive markers for the condition.
Choice B rationale
Complete blood count evaluates for anemia or infection, which may contribute to symptomatology but is not diagnostic for heart failure. Heart failure diagnosis focuses on cardiac-specific markers rather than hematologic parameters.
Choice C rationale
Blood urea nitrogen assesses renal function and reflects perfusion status but lacks specificity for heart failure. Although renal dysfunction may occur in advanced heart failure, BNP measurement is more definitive for cardiac assessment.
Choice D rationale
Brain natriuretic peptide (BNP) is a key diagnostic marker for heart failure. Elevated BNP levels occur due to ventricular stretch and strain associated with fluid overload, a hallmark of heart failure. Normal BNP levels are typically <100 pg/mL, with elevated levels strongly suggesting cardiac dysfunction. .
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