A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following findings should the nurse expect?

Painful urination

Decreased urinary stream

Critically elevated prostate-specific antigen (PSA) level

Urge incontinence

Answer and Explanation

The Correct Answer is B

Choice A Reason: Painful urination is not a common finding in BPH, but it may indicate a urinary tract infection or bladder stones.

Choice B Reason: Decreased urinary stream is a common finding in BPH, as the enlarged prostate compresses the urethra and obstructs the flow of urine.

Choice C Reason: Critically elevated PSA level is not a common finding in BPH, but it may indicate prostate cancer or prostatitis.

Choice D Reason: Urge incontinence is not a common finding in BPH, but it may indicate an overactive bladder or neurogenic bladder.

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Correct Answer is D

Explanation

Choice A Reason: Anorexia is not a symptom of hypoglycemia, but it may indicate a loss of appetite due to other causes such as nausea, infection, or depression.

Choice B Reason: Warm skin is not a symptom of hypoglycemia, but it may indicate a fever, inflammation, or infection.

Choice C Reason: Fruity breath is not a symptom of hypoglycemia, but it may indicate ketoacidosis, which is a serious complication of hyperglycemia.

Choice D Reason: Nervousness is a symptom of hypoglycemia, as the low blood glucose level affects the brain and causes anxiety, irritability, confusion, and tremors.

A. Contact the health care provider. B. Administer PRN pain medication. C. Document the findings. D. Elevate the extremity.

Correct Answer is A

Explanation

Choice A Reason: Contacting the health care provider is the first nursing action that the nurse should perform, as it indicates that the client may have compartment syndrome, which is a medical emergency that requires immediate intervention to prevent tissue necrosis and nerve damage.

Choice B Reason: Administering PRN pain medication is not the first nursing action that the nurse should perform, as it may not relieve the pain and may mask the symptoms of compartment syndrome.

Choice C Reason: Documenting the findings is not the first nursing action that the nurse should perform, as it may delay the treatment and worsen the outcome of compartment syndrome.

Choice D Reason: Elevating the extremity is not the first nursing action that the nurse should perform, as it may decrease blood flow and increase tissue ischemia in compartment syndrome.

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A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following findings should the nurse expect?

Nursing Test Bank

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