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Terms in this set (27)BPH complications urinary retention→UTI pt teaching: preventing dribbling kegel exercises The nurse is collecting data from a client. Which symptom described
by the client is characteristic of an early symptom of benign prostatic hyperplasia? 4. Decreased force in the stream of urine (Decreased force in the stream of urine is an early symptom of BPH. The stream later becomes weak and dribbling. The pt then may develop hematuria, frequency, urgency, urge incontinence, and nocturia.) NCLEX A client is admitted to the hospital with a diagnosis of benign prostatic hyperplasia, and a transurethral resection of the prostate is performed. Four hours after surgery, the nurse takes the client's vital signs and empties the urinary drainage bag. Which assessment finding indicates the need to notify the health care provider (HCP)? 4. Blood pressure, 100/50 mm Hg; pulse, 130 beats/minute (some bleeding may occur the day after surgery) NCLEX Symptoms of BPH are primarily caused by: a. obstruction of the urethra MS The nurse is conducting an interview of an older client and is concerned about the possibility of benign prostatic hyperplasia (BPH). Which are characteristics of this disorder? Select all that apply. 1. nocturia NCLEX The nurse is monitoring a client who has just returned from surgery after a transurethral resection of the prostate (TURP). The client has a 3-way Foley catheter in place for ongoing bladder irrigation. The nurse is observing the color of the client's urine and should expect which urine color during the immediate postoperative period? 1. Pale pink urine (If the bladder irrigation is infusing at a sufficient rate, the urinary drainage through the Foley tubing should be pale pink. Dark pink urine indicates that the rate of the irrigation solution should be increased.) NCLEX The nurse caring for a client immediately after transurethral resection of the prostate (TURP) notices that the client has suddenly become confused and
disoriented. Which is the priority nursing action for this client? 2. Notify the health care provider (HCP). (The pt who suddenly becomes disoriented and confused after TURP could be experiencing early signs of hyponatremia.) NCLEX The nursing student is caring for a client with a diagnosis of benign prostatic hyperplasia (BPH). The nursing instructor asks the student to identify the clinical manifestations associated with this condition. The student needs to research the condition further if the student states that which finding is an EARLY symptom of BPH? 2. Hematuria (not an EARLY finding) NCLEX What is the most common screening intervention for detecting BPH in men over age 50? d. Digital rectal examination MS workbook On admission to the ambulatory surgical center, a patient with BPH informs the nurse that he is
going to have a laser c. Home management of an indwelling catheter MS workbook A
nurse in a provider's office is obtaining a history from a client who is undergoing an evaluation for benign prostatic hyperplasia (BPH). The nurse should identify that which of the following findings are indicative of this condition? (Select all that apply.) B. Frequent urinary tract infections ATI MS Before undergoing a TURP, what should the patient be taught? b. This surgery results in some degree of retrograde ejaculation. MS workbook Following a TURP, a patient has continuous bladder irrigation. Four hours after surgery, the catheter is draining thick, bright red clots and tissue. What should the nurse do? c. Increase the rate of the irrigation and take the patient's vital signs. (Bleeding and blood clots from the bladder are expected after a TURP, and continuous irrigation is used to keep clots from obstructing the urinary tract. The rate of irrigation may be titrated to keep the clots from forming, but the nurse should also check the vital signs because hemorrhage is the most common complication of prostatectomy.) MS workbook A nurse is instructing a client who is scheduled for a transurethral resection of the prostate (TURP) about his postoperative care. Which of the following information should the nurse include in the teaching? A. "You may have a continuous sensation of needing to void even though you have a catheter." ATI MS The extent of urinary obstruction caused by BPH can be determined by which diagnostic study? c. Uroflowmetry MS workbook When taking a history from a patient with BPH, the nurse would expect the patient to report c. urinary hesitancy, postvoid dribbling, and weak urinary stream (bladder spasms, perineal pain, and cloudy urine do not occur with BPH) MS workbook Which characteristics describe transurethral resection of the prostate (TURP)? (Select all that apply) e. Most common surgical procedure to treat BPH MS workbook A nurse is providing discharge instructions to a client who is postoperative from a TURP. Which of the following instructions should the nurse include? (Select all that apply.)
B. If urine appears bloody, stop activity and rest. (avoid intercourse 2-6 weeks after surgery, NSAIDs can cause bleeding) ATI MS The client diagnosed with benign prostatic hyperplasia (BPH) is scheduled for a transrectal ultrasound examination and a test to measure the level of prostate-specific antigen (PSA). The client says to the nurse, "I can't remember...can you tell me again why I need these tests to be done?" The nurse responds knowing that these tests are done for which purpose? 2. Help to rule out the possibility of cancer NCLEX Which treatment for BPH uses a low-wave radiofrequency to precisely destroy prostate tissue? b. Transurethral needle ablation (TUNA) MS workbook A patient with continuous bladder irrigation following a prostatectomy tells the nurse that he has b. Assess the patency of the catheter. MS workbook The nurse provides discharge teaching to a patient following a TURP and determines that the patient understands the instructions when he makes which statement? b. "I should avoid heavy lifting, climbing, and driving until my follow-up visit." MS workbook The male
pt is admitted with a diagnosis of BPH. What urination characteristics should the nurse expect to assess in this pt? b. hesitancy -hesitancy: difficulty starting urine stream MS workbook ch 44 A client with benign prostatic
hyperplasia undergoes a transurethral resection of the prostate. Postoperatively the client is receiving continuous bladder irrigations. The nurse assesses the client for manifestations of transurethral resection syndrome. Which assessment data would indicate the onset of this syndrome? 2. Bradycardia and confusion NCLEX A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). The nurse should anticipate a prescription for which of the following medications? D. Tamsulosin ATI MS What is the effect of finasteride (Proscar) in the treatment of
BPH? a. A reduction in the size of the prostate gland MS workbook Sets with similar termsUrinary System135 terms veronica_mercado5 PRE OP, POST OP REVIEW-CRE55 terms nicole_munson PREP U: Postoperative Management77 terms mjstarkid16 Med Surg Exam 4 Questions in back of book90 terms mariarowe Sets found in the same folderNCLEX Review: Renal/Urinary99 terms Laurie_Meeks NCLEX: ONCOLOGY100 terms lauren_caudill5 exam 350 terms lotus31805 CH 52 Gastrointestinal System26 terms ahmackenzie Other sets by this creatorLeopold's Manuevers5 terms jvchavez13 Maternal A60 terms jvchavez13 Exam 3 Vocab56 terms jvchavez13 Suffixes and OH8 terms jvchavez13 Other Quizlet setsHistory- Immigration & Industrialization14 terms Elsa_C3629 Pharm 45 Immunosuppression60 terms danikacornelius Geology test #229 terms sarah_orrico Related questions
QUESTION A patient has vague symptoms that indicate an inflammatory bowel disorder. Which symptom is most indicative of Crohn's disease (CD)? 9 answers QUESTION How long does it take for the mucosa to heal? 11 answers QUESTION Where do Fat Emboli come from? 10 answers QUESTION What are the clinical manifestations of airway obstruction? 13 answers Which additional manifestation would the nurse expect in clients with BPH?Which additional manifestations would the nurse expect in clients with BPH? Hesitancy when starting the urine stream. This is a common manifestation in men with BPH, along with nocturia, frequency, post-void dribbling, and hematuria.
What is the relationship between prostate cancer and the condition of an enlarged prostate also known as BPH quizlet?Unlike prostate cancer, BPH is not cancerous nor is it fatal. 4 As you age, your testosterone levels increase, which, in turn, causes your prostate to grow in size or become enlarged. During a physical exam, if you have BPH, your healthcare provider will notice your prostate feels larger than it should be.
Which test would the nurse expect the health care provider to order to differentiate benign prostatic hyperplasia from prostate cancer?Prostate-specific antigen (PSA) blood tests are used to screen for prostate cancer. The PSA blood test checks the level of PSA, a protein made only by the prostate gland. This blood test can be done in a lab, hospital or a provider's office.
Which clinical manifestations would the nurse associate with acute pyelonephritis?Acute pyelonephritis will classically present as a triad of fever, flank pain, and nausea or vomiting, but not all symptoms have to be present. Symptoms will usually develop within several hours or over the course of a day. Symptoms of cystitis such as dysuria and hematuria will be present in women usually.
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Which clinical manifestation would the nurse associate with benign prostatic hyperplasia Quizlet
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