The nurse is teaching a client diagnosed with benign prostatic hyperplasia (BPH). What statement indicates the client needs further information?
"I need to inform my allergist that I cannot take my normal antihistamine."
"There should be no problem with drinking wine with dinner each night."
"My routine of drinking a quart (liter) of water first thing in the morning needs to change."
"I am so glad that I weaned myself off of coffee about a year ago."
The Correct Answer is B
A. Certain antihistamines can worsen urinary retention in BPH, so informing the allergist is a good practice.
B. Alcohol, including wine, can worsen the symptoms of BPH by increasing urinary retention and bladder discomfort. The client needs further teaching regarding the effects of alcohol on BPH symptoms.
C. It is advisable to avoid large volumes of fluids in the morning, as this can exacerbate BPH symptoms.
D. Caffeine can irritate the bladder and worsen BPH symptoms, so weaning off coffee is a helpful measure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Bilateral peripheral edema can occur after heart catheterization but is not as immediately life-threatening as cardiac tamponade.
B. A heart rate of 59 beats/min may be concerning, but bradycardia alone is not as immediately urgent as signs of cardiac tamponade.
C. A temperature of 96°F is low, but this is more of a concern for hypothermia or post-procedural effects and is not as urgent as muffled heart sounds indicating tamponade.
D. Muffled heart sounds can indicate cardiac tamponade, a medical emergency. Immediate intervention is required to relieve the pressure on the heart, which may involve pericardiocentesis to drain the fluid or blood.
Correct Answer is B
Explanation
A. Administering oxygen is unnecessary at this time, as the client’s oxygen saturation is normal at 96%.
B. The client has had a myocardial infarction, which can lead to complications such as orthostatic hypotension or cardiovascular strain with sudden position changes. A bedside commode minimizes the need for the client to get out of bed and reduces the risk of these complications.
C. Suggesting the use of a bedpan may be an alternative but is less comfortable and may not adequately address the risk of strain from getting out of bed.
D. Allowing continued bathroom privileges may be unsafe, as it may increase the risk of a fall or cardiovascular strain.
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