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A nurse is assisting the registered nurse conduct an admission assessment of a client with benign prostatic hypertrophy (BPH). The client states they avoid social events due to this condition. Which of the following client findings should the nurse expect to find in the assessment? (Select all that apply.)

Dysuria

Urinary urgency

Incontinence

Urinary frequency

Inability to void

Impotence

Answer and Explanation

Correct Answer : A,B,D,E

A. BPH can lead to urinary tract infections and irritation, which may cause dysuria (painful urination).

B. Clients with BPH often experience urinary urgency, which is a sudden and compelling need to urinate.

C. This refers to the involuntary leakage of urine, which is less common in BPH than other symptoms like urgency and frequency. However, overflow incontinence can occur in severe cases.

D. Increased urinary frequency is common in clients with BPH due to the obstruction of urine flow and bladder irritation.

E. Severe BPH can lead to urinary retention, where the client is unable to void completely or at all, requiring medical intervention.

F. Impotence is not a typical finding directly associated with BPH.

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Correct Answer is A

Explanation

A. White blood cells (WBC) of 10:A WBC count of 10 is higher than the typical reference range (usually 0–5 WBCs per high-power field). An elevated WBC count suggests infection or inflammation, and this should be reported for further assessment.

B. Occasional casts:Occasional casts in the urine can be normal, especially hyaline casts, which may appear after exercise or mild dehydration. However, a high number of casts, or specific types like red or white cell casts, may indicate renal disease and would require follow-up.

C. pH of 5.0:A urine pH of 5.0 is within the normal acidic range (typically 4.5 to 8.0) and does not require reporting unless there are other abnormal findings or specific concerns about acidosis or alkalosis.

D. Dark amber color. Dark amber urine can indicate dehydration but is not an unusual finding by itself. Hydration can typically correct this, so it does not need immediate reporting unless accompanied by other concerning symptoms (e.g., jaundice, which might suggest bilirubinuria).

A. "I will weigh myself every other day." B. "I will only take my diuretic pill if my feet are puffy." C. "I will drink only the amount of fluid in a day that my doctor told me to." D. "I will call my doctor if I feel short of breath all of a sudden."

Correct Answer is ["C","D"]

Explanation

a.Weight monitoring is important for managing fluid balance. However, daily weight checks are typically recommended for clients on dialysis to accurately monitor fluid changes and detect any issues early. Weighing oneself every other day might not provide sufficient information for managing fluid status effectively.

b.This approach is not ideal. Diuretics should be taken as prescribed by the healthcare provider, not based on subjective symptoms like puffiness of the feet. Adhering to the prescribed medication schedule is crucial for managing fluid balance.

c.This statement indicates a good understanding of fluid restriction guidelines. Following the prescribed fluid intake limits is essential for maintaining proper fluid balance and preventing complications.

d.Shortness of breath can be a sign of fluid overload or other complications, and it is important to seek medical advice promptly. Calling the doctor in such situations shows an understanding of when to seek help.

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory findings for a client who had a urinalysis. Which finding should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is assisting with the discharge teaching for a client on home intermittent peritoneal dialysis. Which of the following statements by the client indicates an understanding of fluid balance self-management? (Select all that apply.)

Correct Answer is ["C","D"]

Explanation

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