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NR 667 VISE CALL FOCUSED POSSIBILITIES QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS 100% CORRECT RATED A+

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NR 667 VISE CALL FOCUSED POSSIBILITIES QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS 100% CORRECT RATED A+

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NR 667 VISE CALL FOCUSED
POSSIBILITIES QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
Question Prompt: “Over the past month, have you…”
✔✔ Answer:
✅ 1. Had a sensation of incomplete bladder emptying?
✅ 2. Needed to urinate again less than 2 hours after finishing? (Frequency)
✅ 3. Found yourself starting and stopping several times when urinating?
✅ 4. Found it difficult to postpone urination?
✅ 5. Had a weak urinary stream?
✅ 6. Had to push or strain to begin urination?
✅ 7. How many times do you typically get up at night to urinate?
Scoring Interpretation:
 Mild: 0–7
 Moderate: 8–19
 Severe: 20–35


2. BPH Labs
✔✔ Answer:
✅ Urinalysis (U/A) – Rule out infection
✅ Prostate-Specific Antigen (PSA) – Screen for cancer
✅ Free PSA – Cancer more likely if PSA is high and free PSA is low/normal
✅ Renal Panel – Evaluate kidney function
✅ Post-void Residual (PVR) – Assess for incomplete bladder emptying


3. BPH Differential Diagnoses

, ✔✔ Answer:
✅ Prostatitis
✅ Prostate cancer
✅ Urinary Tract Infection (UTI)
✅ Bladder cancer


4. BPH Physical Assessment
✔✔ Answer:
✅ Perform Digital Rectal Exam (DRE)
✅ Typical BPH finding:
 Firm
 Smooth
 Symmetrically enlarged prostate




BPH Non-pharm education - ANSWER✔✔Limit bedtime fluids
Limit caffeine, alcohol, antihistamine/anticholinergics
Limit salt intake


BPH Pharm education - ANSWER✔✔Alpha 1 Blocker
Flomax 0.4mg daily at bedtime
May cause dizziness
Follow up in 2-4 weeks
Urology if patient is not responding to treatment
Annual PSA and DRE if initial PSA >2.5

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