Prostate

The nurse is caring for a client with urinary retention due to an enlarged prostate. The nurse is inserting a Foley catheter, and has advanced the catheter through the urethra but meets resistance and cannot advance further. What is the next step for the nurse to take?

Utilizing sterile scissors, cut the tip of the Foley catheter in half to enable passage past the prostate

Insert a Coude catheter

Discuss suprapubic catheter placement with the provider

Place an external urinary drainage device instead

Question 2 of 5

The nurse identifies which of the following as a common symptom of benign prostatic hyperplasia (BPH)?

Nocturia

Micturition

Bacteriuria

Hematuria

Question 3 of 5

An order is received for oxybutynin ER 5 mg PO BID for a patient who is NPO with a gastrostomy tube. What action should be taken by the nurse?

Crush the oxybutynin, and give it through the tube.

Call the healthcare provider to request a new order.

Administer the oxybutynin crushed, in applesauce.

Ask the pharmacy to send liquid oxybutynin.

Question 4 of 5

What information should the nurse include when teaching a client about the prostate specific antigen (PSA) test?

An elevated PSA may indicate inflammation.

The patient must urinate in a sterile cup.

It is important to fast before this test.

This is a physical exam of the rectum.

Question 5 of 5

What assessment finding would indicate the effectiveness of tamsulosin?

Relief of bladder spasms

Reduced weight

Relief of urinary tract infection

Decreased dysuria

What email should we send your results to?

I understand I will receive future communications from NURSING.com and agree to the Privacy Policy.

Score an 80% or better on these Nursing Care Plan (NCP) for Benign Prostatic Hyperplasia (BPH) questions to master this lesson.

Master

Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)

Take Quiz

10 Nursing Care and Pathophysiology of BPH (Benign prostatic hyperplasia) NCLEX Questions

Question 1 of 10

A provider has ordered a nurse to perform bladder irrigation on a client in the hospital. Which of the following describes a purpose of performing bladder irrigation in a client? Select all that apply.

To relieve constipation

To promote bladder healing

To administer pain medications

To decrease bleeding

To clear the bladder of blood clots

Question 2 of 10

The nurse is caring for a client who is experiencing urinary retention. Which nursing intervention encourages urinary elimination?

Set a goal with the client to recognize urinary urge and delay urinating.

Perform abdominal and pelvic floor strengthening exercises.

Retrain the bladder by setting up routine times to urinate.

Be patient with the client while they attempt to void.

Question 3 of 10

A nurse is caring for a client with continuous bladder irrigation in place. The nurse uses a three-way catheter for the irrigation system. Which best describes the purpose of this type of catheter?

It allows the nurse to determine if the client is bleeding from the bladder neck

It is divided in its uses for fluid administration and for medication administration

It prevents the client from experiencing pain from the procedure

It allows for irrigant to flow in and out of the bladder

Question 4 of 10

A nurse is caring for a client who is undergoing prostate surgery. Which best describes the elements of informed consent?

The provider's view of whether the client should have the procedure

Whether the client understands what the procedure involves

The risks, benefits, and alternatives to having the procedure

Whether the client approves of staying in the hospital for the procedure

Question 5 of 10

A client is recovering from surgery for a trans-urethral resection of the prostate (TURP) and has continuous bladder irrigation in place. The nurse notes that the system has a triple-lumen catheter and knows that one of the lumens allows inflow of the irrigation solution. What best describes the purposes of the other two lumens in this situation?

Outflow of irrigation solution and clot prevention methods

Catheter balloon inflation and continuous outflow

Instillation of medications and urine sampling

Hemorrhage control solution and bladder pressure measurement

Question 6 of 10

The nurse receives report on a client who will be coming to the floor following a TURP (transurethral resection of the prostate). The nurse prepares for the client’s arrival by gathering which of the following supplies for continuous bladder irrigation? Select all that apply.

Infusion pump

IV pole

A urinal

3-way blood tubing

3,000 mL bags of 0.9% saline

Question 7 of 10

A nurse is performing a bladder irrigation using a syringe. The client has a catheter that is draining urine. Which of the following steps is performed next? Select all that apply.

Instill sterile irrigation solution into the catheter and then remove the syringe and allow the solution to flow out of the catheter into the sterile basin

Allow irrigation solution to empty out of the catheter into a sterile basin

Instill irrigation solution into the bladder and clamp the catheter for 30 minutes

Gather sterile irrigation kit which includes sterile gloves, bulb syringe, solution container, and sterile basin.

Push approximately 1000 mL of irrigation solution through a syringe into the catheter in the client’s bladder

Question 8 of 10

Which of the following ethnic backgrounds are at highest risk of developing prostate cancer?

Hispanic

African American

Asian

Caucasian

Question 9 of 10

A client has just been admitted to the unit after a transurethral resection of the prostate (TURP) and has an order for continuous bladder irrigation (CBI). Which electrolyte imbalance should the nurse be monitoring most closely for?

Hyperkalemia

Hypernatremia

Hypocalcemia

Hyponatremia

Question 10 of 10

A client is planning to undergo surgery in the morning. The provider writes an order that says, “Prepare client for upcoming TURP.” Based on this order, the nurse knows the client will be having surgery on which of the following?

Pancreas

Prostate

Pelvis

Pituitary gland

What email should we send your results to?

I understand I will receive future communications from NURSING.com and agree to the Privacy Policy.

Score an 80% or better on these Nursing Care and Pathophysiology of BPH (Benign prostatic hyperplasia) questions to master this lesson.

Prostate

FUN

300,000+ Students Use These Cheatsheets To Pass NCLEX

What email should we send your results to?

What email should we send your results to?

Welcome Back