What is the symptom called when a male patient, diagnosed with an enlarged prostate (BPH/benign prostatic hyperplasia), reports not completely emptying his bladder when he voids?
Urinary retention
Urinary incontinence
Involuntary voiding
Urinary frequency
The Correct Answer is A
Urinary retention is the inability to completely empty the bladder. It is a common symptom of BPH, as the enlarged prostate can press on the urethra and obstruct the flow of urine. This can lead to several characteristic symptoms, including:
Feeling of incomplete bladder emptying: Patients often feel as though they haven't fully emptied their bladder, even after urinating.
Straining to urinate: It may take extra effort to initiate and maintain a urine stream.
Weak urine stream: The force of the urine stream may be noticeably reduced.
Intermittent urine stream: The flow of urine may start and stop repeatedly.
Post-void dribbling: Urine may continue to drip after urination has seemingly ended.
Urinary frequency: The need to urinate frequently, often at night (nocturia).
Urgency: A sudden, compelling need to urinate that may be difficult to postpone.
Bladder pain or discomfort: Pressure or pain in the lower abdomen, often associated with a full bladder. Pathophysiology:
Bladder outlet obstruction: The enlarged prostate physically compresses the urethra, the tube that carries urine from the bladder to the outside of the body. This obstruction makes it difficult for urine to flow freely, leading to incomplete bladder emptying.
Detrusor muscle dysfunction: The detrusor muscle, which forms the bladder wall, may become weakened or overactive due to the constant strain of trying to empty against resistance. This can further impair bladder emptying.
Neurological factors: In some cases, nerve damage or dysfunction may contribute to urinary retention, particularly in men with diabetes or neurological conditions.
Additional insights:
Chronic urinary retention can result in serious complications, such as bladder stones, urinary tract infections, and kidney damage.
Acute urinary retention is a medical emergency that requires immediate catheterization to relieve the bladder and prevent further complications.
Treatment for urinary retention typically involves medications to relax the prostate and bladder muscles, as well as lifestyle modifications such as limiting fluid intake before bedtime. In some cases, surgical intervention may be necessary to reduce the size of the prostate or widen the urethra.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Planning is conducted during the initial stage of Lewin's change model, known as the unfreezing phase. This phase involves creating awareness of the need for change, building support, and developing a plan for implementation. It's not part of the refreezing phase.
Choice B rationale:
Change is initiated during the second stage of Lewin's change model, known as the change or transition phase. This phase involves implementing the planned changes, providing training and support, and addressing resistance. It's not part of the refreezing phase.
Choice C rationale:
The need for change is recognized during the unfreezing phase, not the refreezing phase. Recognizing the need for change is a crucial step in initiating the change process, but it's not the focus of the refreezing phase.
Choice D rationale:
Change becomes permanent during the refreezing phase. It involves solidifying the new behaviors and practices that have been implemented during the change phase. This is achieved through various strategies, such as:
Reinforcement of the new behaviors through rewards, recognition, and positive feedback
Integration of the new behaviors into organizational policies, procedures, and structures
Creation of a supportive culture that encourages and sustains the change
Ongoing monitoring and evaluation to ensure that the change is sustained over time
Correct Answer is A
Explanation
Choice A rationale:
Thrombophlebitis is a condition characterized by inflammation and blood clot formation within a vein. It commonly occurs in the legs, particularly after surgery or periods of prolonged immobility.
Anticoagulant medications work by preventing the formation of blood clots or by slowing their growth. They do not dissolve existing clots, but they can help prevent the clot from enlarging or breaking off and traveling to other parts of the body, such as the lungs (causing a pulmonary embolism).
Common anticoagulant medications used to treat thrombophlebitis include:
Heparin: This is a fast-acting injectable medication often used in the initial treatment of thrombophlebitis. Warfarin: This is an oral medication that takes a few days to start working but can be used for long-term treatment.
Direct oral anticoagulants (DOACs): These are newer oral medications that have a more predictable effect and fewer interactions with food and other medications compared to warfarin.
The choice of anticoagulant medication depends on several factors, including the severity of the thrombophlebitis, the patient's overall health, and any other medications they are taking.
Choice B rationale:
Antihistamine medications are used to treat allergic reactions. They do not have any effect on blood clots and would not be effective in treating thrombophlebitis.
Choice C rationale:
Antibiotic medications are used to treat infections caused by bacteria. They do not have any effect on blood clots and would not be effective in treating thrombophlebitis unless there is a concurrent bacterial infection.
Choice D rationale:
Antigens are substances that trigger an immune response in the body. They are not used to treat thrombophlebitis.
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