Benign prostatic hyperplasia 5a. question n answers graded A+ 2023/2024

Benign prostatic hyperplasia 5a. question n answers graded A+ 2023Which risk factors should the nurse assess when performing a health history on a client for benign prostatic hyperplasia (BPH) screening? (Select all that apply.) A. Age B. Vasectomy C. Racial background D. Sexual promiscuity E. The presence of testes - correct answer Age Racial background the presence of testes Rationale: The risk of developing BPH increases with age, generally after the age of 40. Men who had their testes removed before puberty are not at risk for BPH. Race may be a factor in BPH: African American and Hispanic males tend to develop BPH earlier than Caucasian American males, while Asian American males develop symptoms later. Having had a vasectomy and sexual promiscuity are not risk factors for BPH. The nurse is conducting a seminar on benign prostatic hyperplasia (BPH) for older men. Which statement is accurate in describing the pathophysiologic change of the aging prostate that contributes to the development of BPH? A. "The prostate becomes more sensitive to available dihydrotestosterone." B. "Testosterone levels decrease, thereby decreasing inhibition of prostate growth." C. "Estrogen levels decrease, contributing to prostatic hyperplasia." D. "The prostate increases the production of dihydrotestosterone." - correct answer "The prostate becomes more sensitive to available dihydrotestosterone." Rationale: Dihydrotestosterone (DHT) mediates prostatic growth. Estrogen appears to sensitize the aging prostate to available DHT, ultimately contributing to prostatic hyperplasia. Increasing estrogen levels, not decreasing levels, contribute to prostatic hyperplasia. The prostate becomes more sensitive to DHT; DHT production is not increased. The statement concerning testosterone levels is not a valid statement. Which clinical manifestations should the nurse expect to observe when assessing a client with benign prostatic hyperplasia (BPH)? (Select all that apply.) A. Hesitancy B. Frequency C. Incontinence D. Incomplete emptying E. Weak or intermittent urinary stream - correct answer Hesitancy incomplete emptying weak of intermittent urinary stream Rationale: Symptoms of voiding BPH include hesitancy, incomplete emptying, weak or intermittent urinary stream, dribbling at the end of urination, and straining during urination. Frequency and incontinence are clinical manifestations of storage BPH, not benign BPH.