Benign Prostatic Hyperplasia

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 4 of 5

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

Hematuria

Micturition

Bacteriuria

Nocturia

Question 5 of 5

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

The patient must urinate in a sterile cup.

It is important to fast before this test.

An elevated PSA may indicate inflammation.

This is a physical exam of the rectum.

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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 administer pain medications

To clear the bladder of blood clots

To promote bladder healing

To relieve constipation

To decrease bleeding

Question 2 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

Instillation of medications and urine sampling

Outflow of irrigation solution and clot prevention methods

Hemorrhage control solution and bladder pressure measurement

Question 3 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?

Prostate

Pelvis

Pancreas

Pituitary gland

Question 4 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 approves of staying in the hospital for the procedure

The risks, benefits, and alternatives to having the procedure

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

Whether the client understands what the procedure involves

Question 5 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?

150 mLs

400 mLs

200 mLs

300 mLs

Question 6 of 10

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

Perform abdominal and pelvic floor strengthening exercises.

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

Retrain the bladder by setting up routine times to urinate.

Be patient with the client while they attempt to void.

Question 7 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 prevents the client from experiencing pain from the procedure

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

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

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

Question 8 of 10

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

Asian

Hispanic

Caucasian

African American

Question 9 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.

3,000 mL bags of 0.9% saline

Infusion pump

IV pole

A urinal

3-way blood tubing

Question 10 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 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

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

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

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

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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.

Benign Prostatic Hyperplasia

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What email should we send your results to?

What email should we send your results to?

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