What is the symptom called when a male patient, diagnosed with an enlarged prostate (BPH/benign prostatic hyperplasia), reports not completely emptying his bladder when he voids?
Urinary retention
Urinary incontinence
Involuntary voiding
Urinary frequency
The Correct Answer is A
Urinary retention is the inability to completely empty the bladder. It is a common symptom of BPH, as the enlarged prostate can press on the urethra and obstruct the flow of urine. This can lead to several characteristic symptoms, including:
Feeling of incomplete bladder emptying: Patients often feel as though they haven't fully emptied their bladder, even after urinating.
Straining to urinate: It may take extra effort to initiate and maintain a urine stream.
Weak urine stream: The force of the urine stream may be noticeably reduced.
Intermittent urine stream: The flow of urine may start and stop repeatedly.
Post-void dribbling: Urine may continue to drip after urination has seemingly ended.
Urinary frequency: The need to urinate frequently, often at night (nocturia).
Urgency: A sudden, compelling need to urinate that may be difficult to postpone.
Bladder pain or discomfort: Pressure or pain in the lower abdomen, often associated with a full bladder. Pathophysiology:
Bladder outlet obstruction: The enlarged prostate physically compresses the urethra, the tube that carries urine from the bladder to the outside of the body. This obstruction makes it difficult for urine to flow freely, leading to incomplete bladder emptying.
Detrusor muscle dysfunction: The detrusor muscle, which forms the bladder wall, may become weakened or overactive due to the constant strain of trying to empty against resistance. This can further impair bladder emptying.
Neurological factors: In some cases, nerve damage or dysfunction may contribute to urinary retention, particularly in men with diabetes or neurological conditions.
Additional insights:
Chronic urinary retention can result in serious complications, such as bladder stones, urinary tract infections, and kidney damage.
Acute urinary retention is a medical emergency that requires immediate catheterization to relieve the bladder and prevent further complications.
Treatment for urinary retention typically involves medications to relax the prostate and bladder muscles, as well as lifestyle modifications such as limiting fluid intake before bedtime. In some cases, surgical intervention may be necessary to reduce the size of the prostate or widen the urethra.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Chronic health promotion focuses on managing and preventing complications of long-term, ongoing conditions. The nurse's talk is not addressing a specific chronic condition or its management, so it does not fall under this category.
Choice B rationale:
Tertiary health promotion aims to minimize the impact of an existing disease or disability and restore function as much as possible. The nurse's talk is not addressing a current disease or disability, but rather preventing them from occurring in the first place, so it does not fall under this category.
Choice C rationale:
Secondary health promotion focuses on early detection and treatment of diseases to prevent or slow their progression. The nurse's talk is not focused on early detection or treatment of specific diseases, but rather on preventing them from developing in the first place, so it does not fall under this category.
Choice D rationale:
Primary health promotion emphasizes preventing diseases and promoting overall wellness before any health problems arise. This aligns directly with the nurse's talk on diet and exercise, as these are key lifestyle factors that can significantly reduce the risk of many chronic diseases and promote overall health.
Here's a breakdown of why this is primary health promotion:
Focus on prevention: The talk is not about managing existing conditions or detecting diseases early; it's about preventing them from occurring in the first place.
Addressing root causes: Diet and exercise are fundamental factors that influence overall health and can contribute to the development of many chronic diseases. By addressing these root causes, the nurse is working to prevent these diseases from developing.
Promoting healthy behaviors: The talk encourages individuals to adopt healthy behaviors that can have a lasting impact on their health. This aligns with primary health promotion's focus on empowering individuals to take control of their own health.
Correct Answer is C
Explanation
Choice A rationale:
While elevating the head of the bed can make it easier to visualize the patient's face and upper chest, it's not the primary rationale for positioning a patient with pneumonia in semi-Fowler's position.
Skin color and temperature can be assessed in other positions as well, such as supine or side-lying. In cases of pneumonia, prioritizing respiratory function takes precedence over ease of skin assessment. Choice B rationale:
While semi-Fowler's position can offer some comfort, it's not the most comfortable position for all patients, especially those with thoracic pain.
Positions that fully support the back and minimize pressure on the chest, such as side-lying with pillows, may provide better pain relief.
The primary goal in positioning a patient with pneumonia is to optimize respiratory function, not solely to maximize comfort.
Choice C rationale:
Semi-Fowler's position effectively promotes lung expansion due to the following reasons:
Gravity: Elevating the head of the bed allows gravity to assist in pulling the diaphragm downward, creating more space for lung expansion.
Abdominal pressure: The semi-upright position reduces pressure from the abdominal organs on the diaphragm, further facilitating its downward movement and enhancing lung expansion.
Secretion drainage: The inclined position encourages drainage of secretions from the upper airways, preventing their accumulation and potential airway obstruction. This allows for better air entry and gas exchange.
Choice D rationale:
While semi-Fowler's position may slightly increase venous return to the heart, it's not the primary reason for using this position in patients with pneumonia.
Positions that significantly increase venous return, such as Trendelenburg position (head down), are typically used for specific indications like shock or hypotension, not for pneumonia management.
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