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.

Answer and Explanation

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.

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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.

A. Serum electrolytes. B. Complete blood count. C. Blood urea nitrogen. D. Brain natriuretic peptide.

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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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?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is in heart failure and weighs 176 pounds. The client is to receive prescribed dobutamine 10 mcg/kg/minute. The nurse has available 1,000 mg in 250 mL of 0.9% normal saline. How many mL per hour should the nurse administer to the client?

Correct Answer is ["12"]

Explanation

The nurse is monitoring the results of laboratory tests for a client suspected of having heart failure.Which of the following tests would provide key diagnostic information for the nurse?

Correct Answer is D

Explanation

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