ELI
A nurse is assessing a client with urinary retention. Which finding is most concerning?
Bladder Distention
A client has a urine output of 20 mL/hr for the last 4 hours. How should the nurse document this finding?
Oliguria
Describe the stream with Benign Prostatic Hyperplasia?
Weak Stream
Which medication classification is commonly prescribed to relax smooth muscle and improve urine flow in clients with BPH?
Alpha Blockers
Which client is at greatest risk for developing BPH?
A. 28-year-old female
B. 45-year-old male athlete
C. 72-year-old obese male
D. 30-year-old smoker
C. 72-year-old obese male
A nurse is caring for a postoperative client who has not voided in 7 hours. What is the nurse’s priority action?
Assess bladder volume with a bladder scanner
A client taking prazosin for BPH should be monitored for which adverse effect?
Orthostatic Hypotension
Continuous bladder irrigation is prescribed following TURP primarily to?
Prevent Clots
A nurse is reviewing risk factors for urinary retention and has a post op patient. Which factor increases the risk?
Anesthesia
Factors affecting urinary elimination, name atleast 3
•Fluid and food intake
•Muscle tone
•Psychosocial factors
•Pathologic conditions
•Surgical and diagnostic procedures
•Medications
A nurse is caring for a client after a TURP procedure. Which finding requires immediate intervention? What color do we want the urine?
Burgundy-colored urine, Pink tinged urine
A client reports painful urination. The nurse documents this as:
Dysuria
Which dietary recommendation should the nurse provide to a client with BPH and avoid?
Increase intake of tomatoes and leafy greens, avoid caffiene and alcohal
Which symptom is most associated with late-stage BPH?
Kidney Damage
A nurse is caring for a client with incontinence. Which intervention best protects skin integrity?
Apply moisture barrier ointment
Which complication can result from untreated urinary retention?
Kidney damage
Which client finding best indicates dehydration related to polyuria?
Intense thirst
A nurse is teaching pelvic floor exercises. What is the purpose of these exercises?
Strengthen muscles controlling continence
What is included in the BPH diet?
Increase zinc- sesame seeds, Increase vitamin C – bell peppers, broccoli, Kale, Brussel sprouts, Antioxidants- increase green leafy vegetables, Increase lycopene- tomatoes, watermelon, apricots, grapefruit
Which finding should the nurse report immediately after TURP?
Large blood clots obstructing catheter
Which intervention is appropriate for prevention of catheter-associated urinary tract infections (CAUTI)? What is a great intervention for urinary incontinence?
Maintain sterile technique during catheter care
Toileting schedule. Assisting to the bathroom every 2 hours promotes bladder control.
A client has bladder scan results showing 550 mL residual urine. Which intervention should the nurse anticipate?
Straight Cath
teach a client why they are prescribed finasteride.
This medication shrinks the prostate to help you urinate
A client experiences a constant urge to void while receiving continuous bladder irrigation after TURP. What is your response?
This may occur because of catheter pressure.
Which nursing intervention may help stimulate urination in a postoperative client? Which intervention helps prevent a uti?
Sitz bath, use warm/running water over perineum
Encourage showers versus baths to avoid CAUTI