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