BPH-PrepU

A client has experienced occasional urinary incontinence in the weeks since their prostatectomy. In order to promote continence, the nurse should encourage which of the following? Pelvic floor exercises Intermittent urinary catheterization Reduced physical activity Active range of motion exercises

Pelvic floor exercises

A client comes to the clinic reporting urinary symptoms. Which statement would most likely alert the nurse to suspect benign prostatic hyperplasia (BPH)? "I've had a fever and noticed I've been running to the bathroom more often." "I'm waking up at night to urinate and I've noticed some burning, too." "I've had trouble getting started when I urinate, often straining to do so." "I've had some pain in my lower abdomen lately and felt a bit sick to my stomach."

"I've had trouble getting started when I urinate, often straining to do so." Symptoms that might alert the nurse to BPH include difficulty initiating urination and abdominal straining with urination. Although fever, urinary frequency, nocturia, pelvic pain, nausea, vomiting, and fatigue may be noted, they also may suggest other conditions such as urinary tract infection. Fever, nausea, vomiting, and fatigue are general symptoms that can accompany many conditions

Which of the following would the nurse expect to be done to assess the size of the prostate? Digital rectal examination Transillumination Pelvic examination Bladder percussion

Digital rectal examination A digital rectal examination is performed to assess the prostate for size as well as evidence of tumor. Transillumination is used to determine the density of scrotal tissue. Pelvic examination is performed to evaluate female reproductive structures. Bladder percussion reveals information about the status of the bladder.

Which of the following should be included when teaching a client about the management of benign prostatic hyperplasia (BPH)? Select all that apply. Moderate use of alcohol is useful for bladder relaxation. Do not delay the urge to void. Low-dose Benadryl will promote restful sleep. Prolonged exposure to heat increases bladder spasms. Painless hematuria is a common symptom of BPH. Schedule digital rectal exams.

Do not delay the urge to void. Schedule digital rectal exams. The client should be instructed to void promptly when the urge to empty the bladder is signaled by the stretch receptors in the bladder. Voiding promptly will decrease the risk for urinary retention. Digital rectal exams should be monitored to detect further enlargement of the gland and/or presence of prostatic nodules. Alcohol and antihistamines (e.g., Benadryl) should be avoided in the management of BPH. Exposure to heat and painless hematuria are not significant in the management of BPH. Alcohol and antihistamines interact with many BPH drugs.

A 65-year-old man complains to his health care provider that, when he urinates, he has to start and stop several times over a period of minutes in order to fully empty his bladder. The nurse is aware that this is not uncommon in men over the age of 60. This "double voiding" is directly related to which of the following? Hyperplasia of the prostate gland Thickening of the seminiferous tubules Fibrotic changes of the corpora cavernosa Hypogonadism

Hyperplasia of the prostate gland

Which of the following are dominant findings related to a transurethral resection syndrome? Hyponatremia Hypervolemia Hyperammonemia Hypernatremia Hypovolemia

Hyponatremia Hyperammonemia Hypovolemia Hyponatremia, hypovolemia, and hyperammonemia may occur with transurethral resection syndrome.

The nurse is caring for a client who had transurethral resection of the prostate (TURP) 1 day ago. Which assessment finding(s) does the nurse expect? Select all that apply. Large amounts of amber-colored urine in the drainage bag Rounded swelling above the pubis Reports of the urge to void from the client Drainage tube secured to the inner thigh Increasing pulse rate and diaphoresis

Large amounts of amber-colored urine in the drainage bag Reports of the urge to void from the client Drainage tube secured to the inner thigh Irrigation fluids will increase the amount of fluid in the drainage bag. A change in color from pink to amber indicates reduced bleeding. To prevent traction on the bladder, the drainage tube (not the catheter) is secured to the inner thigh. The nurse explains that the urge to void results from the presence of the catheter and from bladder spasms. Rounded swelling above the pubis is a manifestation of an over distended bladder. Increasing pulse rate and diaphoresis are signs of distress and need to be reported.

Which of the following would a nurse include in a teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery? Maintaining optimal bladder emptying Using appropriate coping to allay anxiety Performing deep breathing exercises periodically Doing leg exercises at least daily

Maintaining optimal bladder emptying For the client with benign prostatic hyperplasia who is not yet a candidate for surgery, the nurse would teach a client how to maintain optimal bladder emptying. The surgical client requires support and information to allay anxiety. The nurse teaches deep breathing and leg exercises for the client who is to have surgery.

A 57-year-old man is being treated in the outpatient community center. The client reports that most nights he wakes up twice to urinate. In addition, he reports occasional blood in his urine. The client's laboratory tests reveal a PSA level of 3.8 ng/mL and a white blood cell (WBC) count of 6,000 mm3. The nurse most likely suspects that the client is experiencing which condition? Prostatitis Prostatism Prostate cancer Prostatectomy

Prostatism

A client recovering from a prostatectomy reports ongoing bladder spasms. Which action(s) will the nurse take to reduce the client's discomfort? Select all that apply. Prepare a sitz bath. Provide flavoxate as prescribed. Manipulate the indwelling catheter. Apply warm compresses to the pubis. Reduce the amount of bladder irrigant.

Apply warm compresses to the pubis. Provide flavoxate as prescribed. Prepare a sitz bath. After a prostatectomy, the client may experience bladder spasms, an urgency to void, or a feeling of fullness or pressure in the bladder. A sitz bath will help relieve the spasms. Flavoxate is a medication that relaxes the smooth muscles to ease the spasms. Warm compresses to the pubis is another practice that helps to relieve bladder spasms. The indwelling catheter should not be manipulated for any reason. The flow of bladder irrigant is prescribed and should not be altered.