NCLEX RN Practice Question 439

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BENIGN PROSTATIC HYPERTROPHY (HYPERPLASIA)

Description

  • Benign prostatic hypertrophy (benign prostatic hyperplasia; BPH) is a slow enlargement of the prostate gland, with hypertrophy and hyperplasia of normal tissue.
  • Enlargement compresses the urethra, resulting in partial or complete obstruction.
  • Usually occurs in men older than 50 years

Assessment

  • Diminished size and force of urinary stream (early sign of BPH)
  • Urinary urgency and frequency
  • Nocturia
  • Inability to start (hesitancy) or continue a urinary stream
  • Feelings of incomplete bladder emptying
  • Postvoid dribbling from overflow incontinence (later sign)
  • Urinary retention and bladder distention
  • Hematuria
  • Urinary stasis
  • Dysuria and bladder pain
  • UTIs

Interventions

  • Encourage fluid intake of up to 2000 to 3000 mL/day unless contraindicated.
  • Prepare for urinary catheterization to drain the bladder and prevent distention.
  • Avoid administering medications that cause urinary retention, such as anticholinergics, antihistamines, decongestants, and antidepressants
  • Administer medications as prescribed to shrink the prostate gland and improve urine flow.
  • Administer medications as prescribed to relax prostatic smooth muscle and improve urine flow.
  • Instruct the client to decrease intake of caffeine and artificial sweeteners and limit spicy or acidic foods.
  • Instruct the client to follow a timed voiding schedule.
  • Prepare the client for surgery or invasive procedures as prescribed

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