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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. The administration of intramuscular injections can be handled by a practical nurse.

B. Fatigue management and monitoring during radiation treatments can also be managed by a practical nurse.

C. The decision to switch to palliative care involves complex conversations and ethical considerations, requiring the assessment and intervention skills of an RN.

D. Post-biopsy care and monitoring, especially with a benign diagnosis, can be managed by a practical nurse.

A. Listen for extra heart sounds, murmurs, and rhythm with the bell of the stethoscope. B. Initiate dim lighting, lower alarm volumes, and control traffic in and out of the room area. C. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring. D. Notify the unlicensed assistive personnel (UAP) to restrict family and visitors at this time.

Correct Answer is C

Explanation

A. Listening for extra heart sounds, murmurs, and rhythm is important, but obtaining an ECG and starting continuous monitoring should be prioritized to assess for possible acute coronary syndrome.

B. Reducing environmental stimuli is beneficial for patient comfort but is not the immediate priority in assessing and managing potential cardiac events.

C. Obtaining a 12-lead electrocardiogram and beginning continuous cardiac monitoring are critical actions to diagnose and monitor for myocardial infarction or other cardiac events. These steps provide vital information for immediate treatment decisions.

D. Restricting family and visitors may be necessary but is not the immediate next action compared to performing an ECG and continuous monitoring to assess the client's cardiac status.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which client should the charge nurse on the oncology unit assign to an RN, rather than a practical nurse (PN)?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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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.