BPH Symptoms

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

Discuss suprapubic catheter placement with the provider

Insert a Coude catheter

Place an external urinary drainage device instead

Question 2 of 5

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

This is a physical exam of the rectum.

The patient must urinate in a sterile cup.

It is important to fast before this test.

An elevated PSA may indicate inflammation.

Question 3 of 5

What assessment finding would indicate the effectiveness of tamsulosin?

Relief of bladder spasms

Relief of urinary tract infection

Decreased dysuria

Reduced weight

Question 4 of 5

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

Bacteriuria

Nocturia

Hematuria

Micturition

Question 5 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?

Administer the oxybutynin crushed, in applesauce.

Crush the oxybutynin, and give it through the tube.

Call the healthcare provider to request a new order.

Ask the pharmacy to send liquid oxybutynin.

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Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)

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

Question 1 of 10

A nurse checks the contents of a client’s indwelling catheter and notes that the urine output has been 10 mL/hr for the last four hours. Which response of the nurse is most appropriate?

Contact the provider and document the information

Help the client to increase oral fluid intake

Assess the specific gravity of the client's urine

Remove the catheter and irrigate the bladder

Question 2 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.

3-way blood tubing

A urinal

3,000 mL bags of 0.9% saline

IV pole

Infusion pump

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 allows for irrigant to flow in and out of the bladder

It prevents the client from experiencing pain from the procedure

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

Question 4 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?

Catheter balloon inflation and continuous outflow

Outflow of irrigation solution and clot prevention methods

Hemorrhage control solution and bladder pressure measurement

Instillation of medications and urine sampling

Question 5 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.

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

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

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

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

Question 6 of 10

A recovery room nurse is educating a new nurse about continuous bladder irrigation. Which of the following statements made by the new nurse indicates additional teaching is needed?

"The catheter must be drained and color noted at the frequency ordered."

"The irrigation system typically produces clear, pale, yellow urine."

"I need to check intake and output with this system."

"The bladder irrigation prevents clots from forming after surgery."

Question 7 of 10

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

Hispanic

African American

Asian

Caucasian

Question 8 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 clear the bladder of blood clots

To decrease bleeding

To relieve constipation

To administer pain medications

To promote bladder healing

Question 9 of 10

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

Whether the client understands what the procedure involves

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

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

The risks, benefits, and alternatives to having the procedure

Question 10 of 10

A nurse is performing a continuous bladder irrigation on a client. The bag from the pharmacy had 500 mLs of fluid in it. The nurse notes that the bag has 200 mLs left in it. What is the total amount of fluid that has been irrigated?

200 mLs

400 mLs

300 mLs

150 mLs

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

BPH Symptoms

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