A nurse is caring for a client newly diagnosed with benign prostatic hypertrophy (BPH). Which topics are important to include in the education about this disease? (Select all that apply.)
Increasing exercise
Tamsulosin use and adverse effects
Urinary tract infection manifestations
A diet low in calcium oxalate
Signs of worsening BPH
Lifestyle modifications for managing symptoms
Correct Answer : B,C,E,F
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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Correct Answer is C
Explanation
A.Physical therapist: They primarily focus on physical rehabilitation, exercises, and mobility issues. While they play a critical role in rehabilitation post-surgery or in managing physical limitations, their role in directly addressing psychosocial aspects might be more indirect.
B.Psychiatrist: Psychiatrists specialize in diagnosing and treating mental health conditions. While they are crucial in managing mental health concerns, their role might be more focused on diagnosing and managing specific psychiatric conditions rather than addressing the broad psychosocial impact of BPH.
C.Social worker. A social worker plays a crucial role in addressing the psychosocial impact of chronic conditions like BPH. They assist in addressing emotional concerns, providing support, connecting clients with community resources, addressing financial concerns, and facilitating coping strategies. They can help the client and their family navigate the emotional and social challenges that arise due to the condition. Therefore, involving a social worker in the client's plan of care is crucial to address the psychosocial aspects related to BPH.
D.Occupational therapist: Occupational therapists focus on helping patients develop, recover, or maintain daily living and work skills. They may assist with practical aspects of daily life but may not primarily address the psychosocial impact of BPH.
Correct Answer is D
No explanation
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