Exemplar 5.A - Benign Prostatic Hyperplasia Graded A+ 2023 PASSED

Exemplar 5.A - Benign Prostatic Hyperplasia Graded A+ 2023 PASSEDThe nurse is caring for a client diagnosed with benign prostatic hyperplasia (BPH) who is experiencing an increase in symptoms. Which statement by the client would best explain the source of the increased symptoms? A) "I have decreased oral intake at night." B) "I recently had a vasectomy." C) "I am using an over-the-counter cold medication for a cold." D) "I am drinking very little caffeine." - correct answer C) "I am using an over-the-counter cold medication for a cold." Use of cold medications can increase symptoms because of their anticholinergic properties. Avoiding caffeine and decreasing oral intake at night may resolve symptoms. A vasectomy does not affect the symptoms of BPH. The nurse is providing care to a client who is diagnosed with benign prostatic hyperplasia (BPH). Which items in the client's health history indicate a risk factor for this diagnosis? Select all that apply. A) Excessive exercise B) Decreased fluid intake C) Diet high in milk D) 70 years of age E) African American ethnicity - correct answer D) 70 years of age E) African American ethnicity Although the exact cause is unknown, risk factors associated with BPH include increasing age. No link has been made to fluid intake, milk or exercise The nurse is caring for a middle-aged male client who is experiencing urinary retention. The client asks the nurse if it is possible that he is experiencing benign prostatic hyperplasia (BPH). During the client history, the client reports that he is of Japanese descent. Which response by the nurse is the most appropriate? A) "No, you are not old enough to have BPH." B) "Your symptoms are not consistent with BPH." C) "You are considered low-risk for BPH." D) "Where did you get an idea that you might have BPH?" - correct answer C) "You are considered low-risk for BPH." The nurse must always provide honest responses to client questions. The nurse should tell the client that due to his ethnicity, he is considered low-risk for developing BPH. While age does increase the risk of BPH, it is not the only factor to consider. The client is experiencing urinary retention, which is consistent with BPH. Asking a client where he got that idea is demeaning The nurse is providing follow-up care for a client was recently diagnosed with benign prostatic hyperplasia (BPH). Which nursing diagnosis is the priority for the nurse to include in the client's plan of care? A) Chronic Pain B) Impaired Urinary Elimination C) Constipation D) Diarrhea - correct answer B) Impaired Urinary Elimination The priority diagnosis for a client diagnoses with BPH is Impaired Urinary Elimination. Acute pain, not chronic pain, is also an appropriate diagnosis. Clients with BPH have problems associated with urinary elimination, not bowel elimination. Constipation and Diarrhea are not appropriate nursing diagnoses for this client. A client is recovering from prostate surgery on a medical-surgical unit. The client will be ready for discharge within the next few days. Which teaching point is appropriate for this client?