NUR 113 2025/2026 NEW EDITION EXAM GRADED A+
(QUESTIONS WITH 100% CORRECT)
benign prostatic hypertrophy - enlargement of the prostate gland
Androgens - male sex hormones
-responsible for prostate growth
BPH risk factors - -advanced age 60+
-lack physical activity
-erectile dysfunction
-abdominal obesity
-family history
BPH history - -retention
-hesitancy, frequency, urgency, dysuria
-nocturia
-hematuria before or after voiding
-urinary stream alterations; dilated ureter
-dribbling
BPH Assessment - -hurts to pee?
-hard to start or stop?
-constant stream?
-color and odor?
-how do you know your bladder is not emptying?
-do you feel a constant need to go?
-does it wake you up at night?
BPH physical findings - -visible midline mass above the symphysis pubis
-distended bladder
-enlarged prostate on digital rectal exam
, BPH lab results - -BUN and creatinine levels elevated
-prostate specific antigen test (PSA) may be elevated, usually less than 10g/L
BPH imaging - -ultrasound reveals urinary tract obstruction
-transrectal ultrasound reveals size of prostate gland
-bladder scanner reveals postvoid residual urine volume
cystourethroscopy - procedure to view the urinary bladder and the urethra
transurethral resection of the prostate (TURP) - the surgical cure for BPH. An instrument inserted
through the penile urethra is used to partially cut away the prostate to relieve obstruction of the
urinary tract.
after surgery warning - watch out for signs of postobstructive diuresis, characterized by polyuria
exceeding 2 L in 8 hours and excessive electrolyte loss. can result in vascular collapse and death if not
recognized.
Tamsulosin (Flomax) indication - BPH
-increases the flow
Tamsulosin admin - -PO
-do not crush
-give drug 30 mins after same meal of the day
Tamulosin contraindications - -sulfa allergy
-may cause hypotension and syncope with first dose
-notify the Dr if you have an erection lasting longer than 4 hrs
tamulosin nursing considerations - monitor pt for decrease BP
Finasteride (Proscar) - to improve symptoms of BPH and reduce acute urine retention and need for
sugery
(QUESTIONS WITH 100% CORRECT)
benign prostatic hypertrophy - enlargement of the prostate gland
Androgens - male sex hormones
-responsible for prostate growth
BPH risk factors - -advanced age 60+
-lack physical activity
-erectile dysfunction
-abdominal obesity
-family history
BPH history - -retention
-hesitancy, frequency, urgency, dysuria
-nocturia
-hematuria before or after voiding
-urinary stream alterations; dilated ureter
-dribbling
BPH Assessment - -hurts to pee?
-hard to start or stop?
-constant stream?
-color and odor?
-how do you know your bladder is not emptying?
-do you feel a constant need to go?
-does it wake you up at night?
BPH physical findings - -visible midline mass above the symphysis pubis
-distended bladder
-enlarged prostate on digital rectal exam
, BPH lab results - -BUN and creatinine levels elevated
-prostate specific antigen test (PSA) may be elevated, usually less than 10g/L
BPH imaging - -ultrasound reveals urinary tract obstruction
-transrectal ultrasound reveals size of prostate gland
-bladder scanner reveals postvoid residual urine volume
cystourethroscopy - procedure to view the urinary bladder and the urethra
transurethral resection of the prostate (TURP) - the surgical cure for BPH. An instrument inserted
through the penile urethra is used to partially cut away the prostate to relieve obstruction of the
urinary tract.
after surgery warning - watch out for signs of postobstructive diuresis, characterized by polyuria
exceeding 2 L in 8 hours and excessive electrolyte loss. can result in vascular collapse and death if not
recognized.
Tamsulosin (Flomax) indication - BPH
-increases the flow
Tamsulosin admin - -PO
-do not crush
-give drug 30 mins after same meal of the day
Tamulosin contraindications - -sulfa allergy
-may cause hypotension and syncope with first dose
-notify the Dr if you have an erection lasting longer than 4 hrs
tamulosin nursing considerations - monitor pt for decrease BP
Finasteride (Proscar) - to improve symptoms of BPH and reduce acute urine retention and need for
sugery
