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Diversified Health Occupations7th EditionLouise M Simmers 195 solutions A client who has just undergone transurethral resection of the prostate (TURP) has developed TURP syndrome, according to the healthcare provider. Which findings during the nursing assessment support this diagnosis? (Select all that apply.) a. confusion a. confusion Rationale:
A client with mild benign prostatic hyperplasia (BPH) tells the nurse that he prefers to do things open "naturally" and doesn't want to take medication for his condition. He asks her if there are some things he can do to help his BPH without drugs. Which lifestyle changes used in the treatment for BPH would the nurse include in the response to the client? (Select all that apply.) a. exercising regularly, including Kegel exercises a. exercising regularly, including Kegel exercises The client has been prescribed dutasteride (Avodart) for benign prostatic hyperplasia (BPH). Which potential adverse effects would the nurse include in the medication teaching for this medication? (Select all that apply.)
a. Gynecomastia b. decreased volume of ejaculate rationale: A client underwent a transurethral resection of the prostate (TURP) 24 hours ago. The nurse providing care for him would be especially vigilant in observing which complications? (Select all that apply) a. hemorrhage a. hemorrhage rationale: A client is admitted to the hospital for elective knee surgery to be performed the following day. The client tells the nurse that he has benign prostatic hyperplasia (BPH). Which assessment findings support the diagnosis of BPH? (Select all that apply). a. urinary frequency a. urinary frequency rationale: An older adult client is admitted for a transurethral resection of the prostate (TURP) to treat benign prostatic hyperplasia (BPH). Which item in the client's health history place him at risk for developing BPH? a. sedentary lifestyle b. age rationale: A client recently diagnosed with benign prostatic hyperplasia (BPH) tells the nurse that the provider told him he can no longer take the decongestant medication he has routinely used for the sniffles. He asks the nurse to explain why he should avoid this medication. The nurse would base the response to the client on which rationale? a. causes an accelerated growth of the prostate d. causes urinary retention rationale: A client tells the nurse that he has had "problems with the prostate" for many years. Which clinical manifestations experienced by the client would necessitate the need for surgery for BPH? (Select all that apply) a. nocturia b. hematuria rationale: the nurse is providing discharge instructions to a postoperative client who is being discharged to home with an indwelling urine catheter. Which will the nurse include in the teaching of this client? (Select all that apply). a. empty the leg bag every 3-4 hours a. empty the leg bag every 3-4 hours rationale: A client with BPH is scheduled for minimally invasive surgery for his condition. He is not convinced that he really needs this procedure. He asks the nurse, "What's the worst that can happen if I don't have the procedure?" The nurse should base the response on which complications? (Select all that apply). a. hydronephrosis a. hydronephrosis
Rationale: The nurse is caring for a client who was recently remarried. He is being discharged today after having undergone prostate surgery. He asks the nurse privately, with some embarrassment, when he can resume sexual intercourse with his wife. Which response by the nurse is the most appropriate? a. "You can resume sexual activity as soon as the catheter is removed."
c. "You can resume sexual activity 6 weeks after surgery." Rationale: The nurse is preparing a client for transurethral needle ablation (TUNA) for benign prostatic hyperplasia (BPH). While reviewing the medical record, the nurse notes that which findings support rationale for this surgical procedure for the client? (Select all that apply). a. it does not cause incontinence a. it does not cause incontinence rationale: Which androgen mediates prostatic growth at all ages? a. testosterone b. dihydrotestosterone What are risk factors for developing BPH? a. vasectomy b. racial background What diagnostic tests are used to identify BPH? (Select all that apply). a. urine specific gravity test b. digital rectal
examination rationale: Which surgical option for treating BPH utilizes low level radio frequency through twin needles to burn away a region of the enlarged prostate? a. balloon urethroplasty d. TUNA rationale: Which information should the nurse include in the discharge instructions for a client
who has undergone prostate surgery? (Select all that apply.) a. bowel movements rationale: Which elements of a health history for a client with BPH may be documented? (Select all that apply). a. risk factors a. risk factors rationale: Mr. Tupper is a 70-year-old client who just underwent a transurethral resection of the prostate (TURP). His catheter was just removed, and you are conducting postoperative teaching with him. Which teaching point will you include in the session? a. Burning upon urination and dribbling of urine should be reported to provider b. Starting and stopping his urine flow several times during each void and performing Kegel exercises The nurse is educating Mr. Blane, a 68-year-old African American client, and his wife about nonpharmacologic therapies they can implement for his mild benign prostatic hyperplasia (BPH). Which is an appropriate lifestyle change for the nurse to include in the teaching session with Mr.Blane and his wife? a. Holding
urine as long as possible after the first urge to void is felt d. Avoiding drinking fluids within 2 hours of bedtime John Murphy is a 59-year-old white male who is being discharged from the hospital with the diagnosis of benign prostatic hyperplasia (BPH). Which common signs and symptoms of BPH would the nurse include in the discharge teaching for Mr. Murphy? a. Impotence or inability to sustain an erection c. urinary retention, obstruction or urinary flow, and hesitancy Which factors increase the risk of developing benign prostatic hyperplasia?Men with the following factors are more likely to develop benign prostatic hyperplasia:. age 40 years and older.. family history of benign prostatic hyperplasia.. medical conditions such as obesity, heart and circulatory disease, and type 2 diabetes.. lack of physical exercise.. erectile dysfunction.. What is the most common cause of benign prostatic hyperplasia?Hormones from the testis may be the main factor. For example, as men age, the amount of active testosterone in the blood declines. Estrogen levels stay the same. BPH may occur when these hormone changes trigger prostate cell growth.
Is smoking a risk factor of benign prostatic hyperplasia?[ 15 31] Nicotine in cigarettes has been shown to lead to increased DTH level in the prostate and increased sympathetic nervous system activity, contributing greatly to BPH and LUTS.
What hormone causes benign prostatic hyperplasia?Prostatic enlargement depends on the potent androgen dihydrotestosterone (DHT). In the prostate gland, type II 5-alpha-reductase metabolizes circulating testosterone into DHT, which works locally, not systemically. DHT binds to androgen receptors in the cell nuclei, potentially resulting in BPH.
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Which factors increase the risk of developing benign prostatic hyperplasia Quizlet
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