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 A
Explanation
Choice A rationale
Phosphodiesterase type 5 inhibitors, such as sildenafil, are the next step in treating erectile dysfunction after lifestyle changes fail. These medications enhance nitric oxide-mediated vasodilation in the penile tissues, improving erectile function. Their efficacy, safety, and widespread availability make them the first-line pharmacological option.
Choice B rationale
Negative-pressure devices, like vacuum erection devices, mechanically increase blood flow to the penis to maintain an erection. While effective for some, they are typically considered after the failure of oral pharmacological agents, as they require significant user compliance and may cause discomfort.
Choice C rationale
Penile injections of vasodilatory agents, such as alprostadil, are effective for managing erectile dysfunction. However, these are invasive and often reserved for cases unresponsive to oral medications or mechanical devices. They are not typically the first choice after lifestyle modification.
Choice D rationale
Penis transplantation is an experimental treatment and not a standard approach to managing erectile dysfunction. Its application is limited to cases of significant penile trauma or congenital abnormalities and is not relevant for individuals without such conditions.
Correct Answer is D
Explanation
Choice A rationale
Serum electrolytes provide valuable information about fluid and electrolyte balance but are not specific markers for heart failure. Electrolyte abnormalities, such as hyponatremia, may occur but are secondary findings. Direct markers like BNP levels are more diagnostic for heart failure.
Choice B rationale
A complete blood count is used to assess infection, anemia, or inflammation but does not directly diagnose heart failure. It lacks specificity for cardiac function evaluation. Targeted testing ensures effective diagnosis and management.
Choice C rationale
Blood urea nitrogen measures renal function and is not a primary marker for heart failure. Elevated BUN may result from renal hypoperfusion secondary to heart failure but is not a definitive diagnostic indicator. Specific cardiac markers are required.
Choice D rationale
Brain natriuretic peptide is a hormone released in response to ventricular stretch from volume overload, characteristic of heart failure. Elevated BNP levels strongly correlate with heart failure severity and guide diagnosis. Normal BNP levels are typically <100 pg/mL. This test is highly specific for heart failure. .
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.