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 A
No explanation
Correct Answer is ["B","C","E","F"]
Explanation
B. Tamsulosin use and adverse effects
Rationale: Tamsulosin is an alpha-1 blocker commonly prescribed to alleviate BPH symptoms. Education should include how to take the medication, its purpose, and potential side effects, such as dizziness, headache, or orthostatic hypotension.
C. Urinary tract infection manifestations
Rationale: BPH can increase the risk of urinary tract infections (UTIs) due to urinary retention. The client should be aware of symptoms like burning during urination, frequent urination, or cloudy urine to seek timely medical attention.
E. Signs of worsening BPH
Rationale: It's essential for clients to recognize signs that their BPH is worsening, such as severe urinary retention, acute urinary obstruction, or significant changes in urinary patterns. This helps in early intervention and prevents complications.
F. Lifestyle modifications for managing symptoms
Rationale: Clients should be educated on lifestyle changes that can help manage BPH symptoms, such as avoiding caffeine and alcohol, reducing fluid intake before bedtime, and practicing pelvic floor exercises.
Note:
A. Increasing exercise
Rationale: While exercise is beneficial for overall health, it is not specifically targeted for managing BPH symptoms. It can be part of a healthy lifestyle but isn't a primary focus of BPH-specific education.
D. A diet low in calcium oxalate
Rationale: A diet low in calcium oxalate is typically recommended for individuals with kidney stones, not specifically for BPH management.
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