ATI Med-Surg Test Questions And All
Correct Answers.
Benign Prostatic Hyperplasia (BPH) - Answer enlargement of the prostate gland begins to cause urinary
dysfunction
The greatest complications of benign prostatic hyperplasia is __________________ and
________________. - Answer infection and retention
Benign Prostatic Hyperplasia (BPH): Risk Factors - Answer - increased age
- smoking and chronic alcohol use
- sedentary lifestyle, obesity
- western diet
- diabetes
- heart disease
Benign Prostatic Hyperplasia (BPH): Expected Findings - Answer - urinary frequency
- urinary urgency
- urinary hesitancy
- overflow incontinence
- incomplete emptying of the bladder
- dribbling- post voiding
- nocturia
- diminished force of urinary stream
- straining with urination
- hematuria
- frequent UTIs
, - back flow or urine into ureters and kidneys can
cause kidney damage
The International Prostate Symptom Score - Answer used to determine severity of manifestations and
their effect on the patients quality of life
Benign Prostatic Hyperplasia: Laboratory Test - Answer urinalysis and culture (UTI), CBC (infection,
blood loss), BUN and creatinine (kidney damage), prostate-specific antigen (cancer), culture and
sensitivity of prostatic fluid (expressed during digital exam)
Benign Prostatic Hyperplasia: Diagnostic Procedures - Answer Digital Rectal Exam: enlarged smooth
prostate
Transrectal Ultrasound with needle aspiration biopsy or Early Prostate Cancer Antigen may be performed
to rule out cancer in presence of an enlarged prostate
Benign Prostatic Hyperplasia (BPH): Education - Answer - frequent ejaculation releases retained
prostatic
fluids thereby decreasing the size of the prostate
- tell clients to avoid drinking large amounts of fluid
at one time
- patient should urinate as soon as urge is felt
- avoid bladder stimulants (alcohol; caffeine)
- avoid medications that decrease bladder tone
such as anticholinergics, decongestants and anti-
histamines
The goal of Benign Prostatic Hyperplasia medications is to re-establish ________________ urine flow out
of the bladder. - Answer uninhibited
Benign Prostatic Hyperplasia (BPH): Medications: Dihydrotestosterone (DHT)- Lowering Medications -
Answer 5-Alpha Reductase Inhibitors: Finesteride
- decreasing DHT/testosterone production in