NUR 210 MEDSURG 2 - TEST 2

NUR 210 (MED/SURG 2 - TEST 2)

NCLEX Style Practice Questions The nurse is caring for a client diagnosed with benign prostatic hyperplasia (BPH) who is experiencing an increase in symptoms. Which statement by the client would best explain the source of the increased symptoms?

• "I have decreased oral intake at night."
• "I recently had a vasectomy."
• "I am using an over-the-counter cold medication for a cold."
• "I am drinking very little caffeine."

**P-5** - ANSWER C

("I am using an over-the-counter cold medication for a cold.") The nurse is providing care to a client who is diagnosed with benign prostatic hyperplasia (BPH).Which items in the client's health history indicate a risk factor for this diagnosis? (Select all that apply)

• Excessive exercise
• Decreased fluid intake
• Diet high in milk
• 70 years of age
• African American ethnicity

**P-5** - ANSWER D & E (70 years of age) (African American ethnicity) The nurse is caring for a middle-aged male client who is experiencing urinary retention. The client asks the nurse if it is possible that he is experiencing benign prostatic hyperplasia (BPH).During the client history, the client reports that he is of Japanese descent. Which response by the nurse is the most appropriate? 1 / 4

• "No, you are not old enough to have BPH."
• "Your symptoms are not consistent with BPH."
• "You are considered low-risk for BPH."
• "Where did you get an idea that you might have BPH?"

**P-5** - ANSWER C

("You are considered low-risk for BPH.") The nurse is providing follow-up care for a client was recently diagnosed with benign prostatic hyperplasia (BPH). Which nursing diagnosis is the priority for the nurse to include in the client's plan of care?

• Chronic Pain
• Impaired Urinary Elimination
• Constipation
• Diarrhea

**P-5** - ANSWER B

(Impaired urinary elimination) A client is recovering from minimally invasive surgery due to a diagnosis of benign prostatic hyperplasia (BPH). After assessing the client, the nurse expects which outcome for this client?

• Bowel continence
• Absence of pain
• No postoperative treatment
• Urinary continence

**P-5** - ANSWER D

(Urinary continence) The nurse is providing care to a client who is diagnosed with mild benign prostatic hyperplasia (BPH). Which lifestyle change is appropriate for this client?

• Increasing caffeine intake
• Increasing alcohol intake
• Urinating at first urge 2 / 4

• Using over-the-counter antihistamines

**P-5** - ANSWER C

(Urinating at first urge) A client presents to the urologist with complaints of getting up to urinate several times a night and difficulty starting a stream of urine. After medical testing is completed, a diagnosis of benign prostatic hyperplasia (BPH) is made. After conducting teaching regarding BPH, which statement by the client indicates the need for further education?

• "Alpha blockers can be used to control my symptoms."
• "I know I will get cancer of the prostate because of this."
• "As my condition progresses, I may need to consider surgical management."
• "There are nonsurgical treatment options available."

**P-5** - ANSWER B

("I know I will get cancer of the prostate because of this.") A client is diagnosed with benign prostatic hyperplasia (BPH). Which topics are appropriate for the nurse to include in the teaching session related to the client's condition? (Select all that apply)

• Self-care
• Nutrition
• Surgical approaches to treatment
• Pharmacologic approaches to treatment
• Permanent urinary catheterization

**P-5** - ANSWER A, B, C, & D (Self-care) (Nutrition) (Surgical approaches to treatment) (Pharmacologic approaches to treatment) 3 / 4

The nurse is providing care to a client in the healthcare clinic. The client's brother was recently diagnosed with benign prostatic hyperplasia (BPH), and the client wants to know if he is also at risk. Which item in the client's history increases the risk for BPH?

• Decreased levels of progesterone
• Increased levels of estrogen
• 35 years of age
• Testicle removal due to cancer

**P-5** - ANSWER B

(Increased levels of estrogen) The client admitted with benign prostatic hyperplasia (BPH) is prescribed an alpha-adrenergic blocker, prazosin (Minipress), for the treatment of BPH. When providing care to this client, which assessment is a priority related to this medication?

• Blood pressure
• Pain rating
• Respiratory rate
• Temperature

**P-5** - ANSWER A

(Blood pressure) The nurse is providing care to a client who is diagnosed with mild benign prostatic hyperplasia (BPH) who is experiencing urinary retention. Which goal is the most appropriate for this client?

• The client will increase fluid intake to at least 2-3 liters daily
• The client lists over-the-counter medications to be avoided
• The client will voice an understanding of the importance of the use of antiembolic stockings

and compression devices

• The client will use a T-binder or scrotal support properly

**P-5** - ANSWER B

(The client lists over-the-counter medications to be avoided)

• / 4