A nurse is caring for a client in the clinic who reports an inability to drain their bladder and urgency with urination. The client's medical history indicates they have had benign prostatic hypertrophy (BPH) for the last 26 years. Which of the following other clinical manifestations of BPH will the client most likely report to the nurse? (Select all that apply.)
Pain with urination
Urination at night
Swelling around the eyes
Difficulty getting the urine stream started
Correct Answer : B,D
A. Pain with urination: Pain during urination is not typically a common symptom of BPH. It's more commonly associated with urinary tract infections (UTIs) rather than solely due to BPH.
B. Urination at night: Frequent urination, especially at night (nocturia), is a common symptom of BPH. As the prostate enlarges, it can obstruct the urethra, leading to incomplete emptying of the bladder, and causing increased urination, especially during the night.
C. Swelling around the eyes: Swelling around the eyes is not a direct symptom of BPH. It's more commonly related to other conditions like allergies or fluid retention but not specifically associated with BPH.
D. Difficulty getting the urine stream started: This is a hallmark symptom of BPH. Enlargement of the prostate can obstruct the urethra, leading to difficulty initiating urination or a weak urine stream.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. I probably have problems with incontinence due to exposure to some bacteria while packaging candy on the line." While exposure to bacteria can lead to urinary tract infections, which might contribute to incontinence, this statement might not directly correlate to incontinence caused by job-related factors. It could be a contributing factor but might not solely explain work-related incontinence.
B. Limited or infrequent bathroom breaks can lead to urinary urgency and incontinence, especially for individuals who already have underlying risk factors.Strict monitoring of breaks can create anxiety and further contribute to the urgency and potential loss of bladder controL.
C."I probably have problems with incontinence because the water at work is disgusting and I don't drink enough. “Dehydration: Inadequate fluid intake can contribute to urinary problems, but the client specifically mentions a strict break policy, suggesting limited opportunities for toileting, which is a more direct contributing factor.
D."I probably have problems with incontinence because I am constantly exposed to pesticides at work." Exposure to pesticides might lead to various health issues, but it's less directly associated with urinary incontinence unless there's evidence suggesting a specific impact on bladder function.
Correct Answer is A
No explanation
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