NCLEX-Benign prostatic hypertrophy BPH
will the post-op patient be impotent?
if TURP NO is perineal prostatectomy then yes
if you see clots in the tubing, you would first___
increase the rate
in BPH the man has increases/decreased frequency of urination
increased urination
at what age does BPH occur?
men over 50 years of age
should you take rectal temos after prostatectomy? give stool softeners?
no rectal temps yes-stool softeners
the most radical prostate surgery is the _____ prostatectomy
perineal
what exercises should the post-prostectomy patient do upon D/C? why?
perineal exercises, start and stop the stream of urine, bc dribbling is a common but temp problem post op
what is acid ash?
protein and starch diets
if you see an increase in the blood content of urine coming of out the catheter, you would first _____
pull carefully on the catheter to apply local pressure on the prostate with the foley balloon
what is the primary purpose of a 3 way contiunous bladder irragation (CBI) after TURP
to keep the catheter clear of clots and to drain urine
as the prostate enlarges it compresses the ___ and causes urinary ___
urethra, retention
what drugs are used to tx bladder spasm
B and O suppositories
you should call the MD after TURP when you ___thick ___, ___ clots and __urine drainage on the dressing
Bright thick blood, persistant clots, perisitent urine on dressing.
will theman with BPH has enuresis, nocturia or hematuria?
ENURESIS-NO, NOCTURIA- YES and Hematuria- MAYBE
should fluids be forced or restricted in BPH?
FORCED fluids
the man with BPH has a ____ stream of urine
FORKED
what solution is used to CBI?
Normal saline 0.9 NaCl
what does TURP stand for
Transurethral resection of the prostate
what type of diet is used for BPH?
acid Ash
how fast do you run CBI?
at whatever rate it takes to keep the urine flowing and free of clots.
in BPH the force of the urinary stream is increases/decreased?
decreased force of urination
the man with BPH has hesitancy, what does this mean?
difficulty starting to void
what is the best way to screen men for BPH?
digital rectal exam