Benign Prostatic Hyperplasia (BPH) Practice Questions (Test #5, Fall 2020)updated to pass

Benign Prostatic Hyperplasia (BPH) Practice Questions (Test #5, Fall 2020)updated to pass The nurse observes red urine and several large clots in the tubing of the normal saline continuous irrigation catheter for the client who is one (1) day postoperative TURP. Which intervention should the nurse implement? 1. Remove the indwelling catheter. 2. Titrate the NS irrigation to run faster. 3. Administer protamine sulfate IVP. 4. Administer vitamin K slowly. - correct answer 2 1. The indwelling catheter should not be removed because doing so may result in edema, which, in turn, may obstruct the urethra and not allow the client to urinate. 2. Increasing the irrigation fluid will flush out the clots and blood. 3. Protamine is the reversal agent for heparin, an anticoagulant. 4. Vitamin K is the reversal agent for the anticoagulant warfarin (Coumadin). TEST-TAKING HINT: The test taker should eliminate options "3" and "4" because both are medications and the problem is with continuous irrigation, which does not require medications. Which data support to the nurse the client's diagnosis of acute bacterial prostatitis? 1. Terminal dribbling. 2. Urinary frequency. 3. Stress incontinence. 4. Sudden fever and chills - correct answer 4 1. Terminal dribbling is a symptom of BPH. 2. Urinary frequency is a sign of a UTI. 3. Stress incontinence occurs in women who urinate when coughing, running, or jumping. 4. Clients with acute bacterial prostatitis will frequently experience a sudden onset of fever and chills. Clients with chronic prostatitis have milder symptoms. TEST-TAKING HINT: The words "acute" and "bacterial" should cue the test taker into the specific symptoms of infection. Symptoms for any infection are fever and chills. Which intervention should the nurse include when preparing a teaching plan for the client with chronic prostatitis? 1. Sit in a warm sitz bath for 10 to 20 minutes several times daily. 2. Sit in the chair with the feet elevated for two (2) hours daily. 3. Drink at least 3,000 mL of oral fluids, especially tea and coffee, daily. 4. Stop broad-spectrum antibiotics as soon as the symptoms subside - correct answer 1 1. The client should sit in a warm sitz bath for 10 to 20 minutes several times each day to provide comfort and assist with healing. 2. Clients should avoid sitting for extended periods because it increases the pressure. 3. Oral fluids should be consumed to satisfy thirst but not to push fluids to dilute the medication levels in the bladder. 4. Broad-spectrum antibiotics are administered for 10 to 14 days and should not be stopped until all medications are taken by the client.