Exhibits
The nurse educates the client about living with benign prostate hyperplasia (BPH).
Select the 3 areas of teaching that should be included when providing education to the client with symptomatic benign prostate hyperplasia.
Urinate every 4 to 6 hours or when you first feel the urge.
Decrease fluid intake to lessen the severity of symptoms.
Limit your intake of alcohol and caffeine.
Refrain from exercise because it can lead to incontinent episodes.
Avoid cough or cold remedies that contain pseudoephedrine or phenylephrine.
Schedule yearly prostate-specific antigen blood test.
Correct Answer : A,C,E
A. Urinate every 4 to 6 hours or when you first feel the urge: Regular urination helps prevent bladder overdistention and can reduce the risk of urinary retention and incontinence episodes.
B. Decrease fluid intake to lessen the severity of symptoms: While it might seem logical to reduce fluid intake to decrease urinary frequency, it is essential to maintain adequate hydration. Instead, fluid intake should be managed appropriately, avoiding large volumes at one time, particularly in the evening.
C. Limit your intake of alcohol and caffeine: Alcohol and caffeine can irritate the bladder and increase urinary frequency and urgency, exacerbating BPH symptoms.
D. Refrain from exercise because it can lead to incontinent episodes: Exercise is beneficial for overall health and can help manage weight, which is important for BPH management. Clients should be encouraged to exercise regularly.
E. Avoid cough or cold remedies that contain pseudoephedrine or phenylephrine: These medications can constrict the urethra, worsening urinary retention and other BPH symptoms.
F. Schedule yearly prostate-specific antigen blood test: While monitoring PSA levels can be part of managing prostate health, it is not specific to daily living with symptomatic BPH and thus not one of the top three areas of education in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Scarlet fever and pneumonia do not require airborne precautions; they are primarily spread through respiratory droplets.
B. Scabies is a skin infestation that requires contact precautions, not airborne precautions.
C. Herpes simplex II lesions require contact precautions and are not airborne.
D. A positive Mantoux test and sputum cultures positive for acid-fast bacillus indicate tuberculosis, which requires airborne precautions, including a negative airflow room and the use of a particulate respirator mask.
Correct Answer is D
Explanation
A. Hypercapnia from rapid respirations is unlikely, as rapid respirations would typically decrease PaCO2, not increase it.
B. A pulmonary embolism would typically result in decreased PaO2, not an increase.
C. A pneumothorax would reduce ventilation but would not typically increase both PaO2 and PaCO2 simultaneously.
D. Increased PaO2 due to supplemental oxygen therapy can reduce the hypoxic drive, leading to a decreased respiratory rate and resulting in an increase in PaCO2 due to reduced ventilation.
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