nur 116 - Davis Advantage / Edge - Benign Prostatic Hyperplasia

The nurse is teaching a client with newly diagnosed benign prostatic hyperplasia about potential complications of a transurethral resection of the prostate. What should the nurse include in the education session? Select all that apply. Bleeding in the bladder Urinary infection Bladder stones Kidney damage Impotence

Bleeding in the bladder Urinary infection

The nurse is talking with a patient who says his friend has a procedure where hot water is used for causing coagulation necrosis of the prostate tissue. The patient says, "That's just crazy, I don't believe him." How should the nurse respond? "It sounds like your friend is talking about an open prostatectomy." "A transurethral needle ablation includes the use of hot water." "That would be water-induced thermotherapy (WIT)." "Yes, that's a transurethral ethanol ablation of the prostate (TEAP)."

"That would be water-induced thermotherapy (WIT)." Rationale: Water-induced thermotherapy (WIT) is a 45-minute procedure performed using topical anesthesia. Hot water is used to cause coagulation necrosis of the prostatic tissue that will compress the urethra. Test Taking Tips: Find the answer consistent with the question.

A client with benign prostatic hyperplasia asks about medications that can help shrink the prostate tissue. Which type of medication should the nurse mention? 5-alpha reductase inhibitors Diuretic Chemotherapy agents Beta blockers

5-alpha reductase inhibitors

The nurse is caring for a male client with bladder distention. Which outcome is the best indication that he may have benign prostatic hyperplasia? The urine is dark amber. He has a high post-void residue as indicated by bladder scanner. The client has discomfort when voiding. The urine has a foul smell and cloudy color.

He has a high post-void residue as indicated by bladder scanner.

A patient with benign prostatic hyperplasia is diagnosed with bladder damage from the outlet obstruction and asks the nurse why that occurred. Which could be the cause for the bladder damage? Urinary stasis Painful urination Mineral deposits in the bladder Incomplete emptying of bladder

Incomplete emptying of bladder Rationale: The incomplete emptying of the bladder may result in stretching of the muscle walls of the bladder, which may cause bladder damage. Test Taking Tips: Consider what could damage the bladder.

The nurse knows that which statements are true about benign prostatic hyperplasia (BPH)? BPH is a form of metastatic cancer. Men of any age are at risk. BPH is a precursor to bladder cancer. Incontinence is sometimes a result of BPH.

Incontinence is sometimes a result of BPH.

A patient visits the primary health-care provider because of painful urination. The digital exam shows the image provided. Which medication is most likely to be prescribed? Tadalafil Sildenafil Indoramin Alprostadil

Indoramin Rationale: Indoramin can be prescribed to treat benign prostatic hyperplasia. This drug decreases the constriction of the urethra and relaxes the smooth muscles. Test Taking Tips: The image shows an enlarged prostate.

Which procedures can be performed transurethrally? Select all that apply. Open prostatectomy Laser surgery Transurethral microwave therapy Transurethral needle ablation Prostatic stents

Laser surgery Transurethral microwave therapy Transurethral needle ablation Prostatic stents

The client admits an older man with a bladder infection. What additional symptoms could alert the nurse to benign prostatic hyperplasia as the contributing factor? Select all that apply. Polyuria Scrotal swelling Nocturia Bed wetting Incontinence

Nocturia Bed wetting Incontinence

A patient is diagnosed with benign prostate hyperplasia (BPH) and failed to respond to alpha-adrenergic receptor blockers. The laboratory reports of the patient revealed that there are bladder stones of 2.5 cm. Which surgical procedure would the nurse expect to be beneficial for the patient? Laser surgery Open prostatectomy Transurethral incision of the prostate (TUIP) Transurethral resection of the prostate (TURP)

Open prostatectomy Rationale: An open prostatectomy is a surgical procedure that is performed in patients with BPH along with complications such as bladder stones. Test Taking Tips: Identify that this is advanced disease.

A patient is diagnosed with a very large prostate and bladder stones. The primary health-care provider suggests surgery to remove the prostate. Which surgery does the nurse expect the primary health-care provider will advise? Laser surgery Open prostatectomy Transurethral microwave therapy Transurethral resection of the prostate

Open prostatectomy Rationale: An open prostatectomy is performed when the patient is diagnosed with a very large prostate and bladder stones. Test Taking Tips: The large stones and prostate make this the only option.

For each heading related to benign prostatic hyperplasia, select the appropriate treatment options from the answer choices. Removal of the prostate gland Transurethral Resection of the Prostate Transurethral Incision of the Prostate Open Prostatectomy Laser Surgery Transurethral Microwave Therapy Transurethral Needle Ablation Prostatic Stents Water-Induced Thermotherapy and Transurethral Ethanol Ablation

Transurethral Resection of the Prostate Open Prostatectomy CORRECT. With these two procedures, the entire prostate gland is removed. In the transurethral incision procedure, two small incisions are made to relieve compression of the urethra. With the laser surgery the prostate tissue is burned away and removed. In the microwave therapy tissue is destroyed and the gland shrinks. With a needle ablation radio waves are passed through needles placed in the prostate gland. With stents a device is placed in the urethra to open the flow of urine, and in water-induced therapy water is used to cause coagulation necrosis of tissue.

For each heading related to benign prostatic hyperplasia, select the appropriate treatment options from the answer choices. Options for small or moderately large prostate gland Transurethral Resection of the Prostate Transurethral Incision of the Prostate Open Prostatectomy Laser Surgery Transurethral Microwave Therapy Transurethral Needle Ablation Prostatic Stents Water-Induced Thermotherapy and Transurethral Ethanol Ablation

Transurethral Resection of the Prostate Transurethral Incision of the Prostate Laser Surgery Transurethral Microwave Therapy CORRECT. Certain treatments are only effective on smaller or moderately large prostate glands because of the type of procedure and whether the gland is being removed or tissue is being destroyed. The client with a large prostate gland is limited in his procedural options.

A patient is diagnosed with benign prostatic hyperplasia (BPH) and has minimal symptoms. The primary health-care provider recommends active surveillance of the patient. What should the nurse include with discharge teaching? Select all that apply. "I should advise the patient to avoid sedatives." "I should advise the patient to avoid all over-the-counter (OTC) medications." "I should advise the patient to visit the provider yearly." "I should advise the patient to increase fluid intake until bed time." "I should advise the patient to avoid consumption of selenium-rich foods."

"I should advise the patient to avoid sedatives." "I should advise the patient to visit the provider yearly." Rationale: Watchful waiting or active surveillance is the treatment option used in patients with minimal symptoms. The patient should avoid sedatives as it may worsen symptoms. Rationale: Patients should visit the provider yearly for evaluation and to undergo a digital rectal examination. Test Taking Tips: Determine safe teaching points to minimize symptoms.

A patient was diagnosed with benign prostatic hyperplasia (BPH), and the primary health-care provider decides that watchful waiting is appropriate. Which statement made by the patient requires further teaching? "I should receive yearly examinations." "I should avoid over-the-counter drugs." "I should drink lots of fluids in the evening." "I should return to the clinic if I have symptoms."

"I should drink lots of fluids in the evening." Rationale: Consuming excess fluids in the evening may worsen the symptom of nocturia. This statement requires further patient education. Test Taking Tips: Look for the incorrect statement.

A client has been diagnosed with benign prostatic hyperplasia and asks the nurse about alternative therapies to surgery. What should the nurse suggest? Select all that apply. Indwelling catheter Saw palmetto Ginkgo biloba African plum Cernilton

Indwelling catheter Saw palmetto African plum Cernilton

Which symptoms in a patient indicate benign prostatic hyperplasia (BPH) to the primary health-care provider? Select all that apply. Hematuria Frequent nocturia Erectile dysfunction Swelling and hardness in the scrotum Multiple interruptions during urination

Frequent nocturia Rationale: Frequent nocturia is a symptom seen with BPH. Rationale: Multiple interruptions during urination are a symptom seen with BPH. Test Taking Tips: Consider the symptoms of BPH.

For each heading related to benign prostatic hyperplasia, select the appropriate treatment options from the answer choices. Shrinking or destroying the tissue of the prostate gland Transurethral Resection of the Prostate Transurethral Incision of the Prostate Open Prostatectomy Laser Surgery Transurethral Microwave Therapy Transurethral Needle Ablation Prostatic Stents Water-Induced Thermotherapy and Transurethral Ethanol Ablation

Laser Surgery Transurethral Microwave Therapy Transurethral Needle Ablation Water-Induced Thermotherapy and Transurethral Ethanol Ablation CORRECT. The laser surgery annihilates and/or removes overgrown prostate tissue. The microwave therapy destroys tissue and causes tissue to shrink. The needle ablation uses radio waves to heat and destroy the tissue. The water-induced therapy uses hot water to cause coagulation necrosis of the prostate tissue, whereas the ethanol ablation creates tissue necrosis with injection of ethanol into the arterioles and venules.

For each heading related to benign prostatic hyperplasia, select the appropriate treatment options from the answer choices. Options for men who are not surgical candidates Transurethral Resection of the Prostate Transurethral Incision of the Prostate Open Prostatectomy Laser Surgery Transurethral Microwave Therapy Transurethral Needle Ablation Prostatic Stents Water-Induced Thermotherapy and Transurethral Ethanol Ablation

Prostatic Stents CORRECT. With this nonsurgical procedure, a prostatic stent is placed in the urethra to keep it open. Either metal or plastic stents may be used. Replacement may be required every 4 to 6 weeks. This is not a long-term solution because of increased risk of urinary tract infections.

A client with benign prostatic hyperplasia is not responding to medications and is a high risk for surgery due to a bleeding disorder. Which procedure is the best option for him? Transurethral resection of the prostate Open prostatectomy Laser surgery Prostatic stents

Prostatic stents

For each heading related to benign prostatic hyperplasia, select the appropriate treatment options from the answer choices. Performed with equipment passed through the urethra Transurethral Resection of the Prostate Transurethral Incision of the Prostate Open Prostatectomy Laser Surgery Transurethral Microwave Therapy Transurethral Needle Ablation Prostatic Stents Water-Induced Thermotherapy and Transurethral Ethanol Ablation

Transurethral Resection of the Prostate Transurethral Incision of the Prostate Laser Surgery Transurethral Microwave Therapy Transurethral Needle Ablation Prostatic Stents Water-Induced Thermotherapy and Transurethral Ethanol Ablation CORRECT. The most convenient and least invasive method for working with the prostate gland is through the urethra. An open prostatectomy is required when the prostate is very large and the client who has complications such as stones or bladder damage.

For each heading related to benign prostatic hyperplasia, select the appropriate treatment options from the answer choices. Bleeding as a complication Transurethral Resection of the Prostate Transurethral Incision of the Prostate Open Prostatectomy Laser Surgery Transurethral Microwave Therapy Transurethral Needle Ablation Prostatic Stents Water-Induced Thermotherapy and Transurethral Ethanol Ablation

Transurethral Resection of the Prostate Transurethral Incision of the Prostate Open Prostatectomy Transurethral Microwave Therapy Transurethral Needle Ablation CORRECT. When the prostate gland is removed, risk for bleeding and infection arises. Often, clients who have these procedures experience bladder irrigation via a three-way catheter until the bleeding decreases.

Which surgical option is beneficial for a patient with a medium size prostate who has benign prostatic hyperplasia? Laser surgery Open prostatectomy Transurethral incision of the prostate (TUIP) Transurethral resection of the prostate (TURP)

Transurethral incision of the prostate (TUIP) Rationale: Transurethral incision of the prostate (TUIP) is performed if the patient has a small to medium size prostate. Test Taking Tips: Consider the size of the prostate gland.

A patient reports frequency in urination leading to awakening at night, a weak stream of urine, and a feeling that the bladder has not completely emptied. Which diagnostic tests are beneficial to confirm the condition? Select all that apply. Urinalysis Ultrasound of the abdomen Digital rectal exam Magnetic resonance imaging Prostate specific androgen (PSA) levels

Urinalysis Digital rectal exam Rationale: A urinalysis can be performed to rule out the presence of infection. Rationale: The symptoms in the client are indicative of benign prostatic hyperplasia (BPH). A digital rectal exam can confirm BPH. Test Taking Tips: Assess the condition with the help of symptoms and then find the diagnostic test.

The nurse is teaching a client with newly diagnosed benign prostatic hyperplasia about complications of the condition. What should the nurse include in the instructions? Select all that apply. Urinary retention Urinary tract infection Bladder stones Kidney damage Impotence

Urinary retention Urinary tract infection

A neighbor asks a nurse if he might have an enlarged prostate gland. Which symptoms are consistent with these suspicions? Select all that apply. Urinating several times at night A weak stream of urine Difficulty starting the flow of urine Premature ejaculation Dribbling after urinating

Urinating several times at night A weak stream of urine Difficulty starting the flow of urine Dribbling after urinating