HESI Case Studies- Benign Prostatic Hyperplasia complete with Answers

1. Which additional manifestations would the nurse expect in client's with BPH? - hesitancy when starting then urine stream 2. Which assessment finding would indicate that Mr. Hamilton is experiencing urinary retention? -dullness heard on percussion below the umbilicus 3. Mr. Hamilton tells the nurse that he has cut back on drinking fluids to reduce his symptoms. How should the nurse respond? -"Decreasing fluid intake may increase your risk for developing a UTI." 4. Mr. Hamilton is scheduled for a digital rectal exam, serum prostate-specific antigen (PSA) level, urinalysis, serum creatinine, and blood urea nitrogen (BUN). He states he has had the rectal exam and PSA levels done before the prostate screening. He asks why the other lab test (creatinine and BUN levels) are necessary. What explanation should the nurse provide? -"If your prostate gland is blocking the flow of urine, you may have some degree of kidney damage that can be detected with these tests." 5. Mr. Hamilton's PSA level is 6mg/ml, a slightly elevated level (normal is 4 ng/ml). Bob appears distressed and asks, "Do I have prostate cancer? Is that why I'm having these symptoms?" How should the nurse respond? "I realize that this report is causing you concern. PSA levels can be elevated with gland enlargement, as well as cancer, so more tests are needed." 6. Tests, along with urodynamic flow studies, indicate that Mr. Hamilton's prostate gland is enlarged significantly and treatment is recommended. Mr. Hamilton elects to try medical management of his symptoms. He receives prescriptions of oral finasteride (Proscar) and tamsulosin (Flomax). The nurse provides instructions about these medications. What information should be included when teaching Bob about Flomax? "Change positions slowly, such as when standing up."