Question

A 74-year-old man visiting reports difficulty starting his urine stream and feeling like his bladder is not completely empty, as well as dribbling of urine after urination.

1. 1. What questions should the nurse ask when taking this patient’s history?
2. 2. What other symptoms would the nurse expect?
3. 3. What diagnosis does the nurse suspect, based on the patient’s symptoms?
4. 4. What medications may help with the management of this diagnosis? What are the nursing consideration for these medications?
5. 5. When assessing the patient with benign prostatic hyperplasia (BPH), what assessment finding does the nurse anticipate?
6. 1. Rectal bleeding
   2. Distended bladder
   3. Tenderness over the kidneys
   4. Enlarged painful prostate gland

6. The patient has a prostate ultrasound and is diagnosed with BPH. The health care provider prescribes drug therapy with finasteride.

What will the nurse teach the patient about this drug?

1. It will constrict the prostate gland and improve urine flow.
2. This drug will interact with Viagra and increase side effects.
3. It will decrease the level of dihydrotesterone (DHT) and shrink the prostate.
4. It may cause postural hypotension; care should be taken when changing positions.

7. Six months later, the patient’s symptoms have not significantly improved, and he is referred to a surgeon for a transurethral resection of the prostate (TURP). Postoperatively, what are the priority nursing interventions for this patient? (Select all that apply.)

1. Assess for signs of infection.
2. Check urine output every 2 hours.
3. Keep the patient on bed rest for at least 2 days.
4. Remind the patient that urine will be blood-tinged.
5. Administer pain and antispasmodic drugs as needed.

Answer 1

96-*1.What questions should the nurse ask when taking this patient’s history?

a.how long you have the current problem?

b.Do you have any family history of prostate problem.

c.Any pain associated with urination.

d.How frequent you micturate?

2.What other symptoms would the nurse expect?

a.Nocturia.

b.Difficulty in starting urination.

c.Hematuria

d.signs of urinary infection.

e.Frequent or urgent need to empty bladder.

3.What diagnosis does the nurse suspect, based on the patient’s symptoms?

Benign prostate Hyperplasia.

4.What medications may help with the management of this diagnosis? What are the nursing consideration for these medications?

a.Alpha blockers(antagonist)-example:Tamsulosin.

b.Alpha Reductase inhibitors-example:Dutasteride

Nurse should educate the patient regarding the expected side effects such as headache ,dizziness,muscle weakness etc.

5.When assessing the patient with benign prostatic hyperplasia (BPH), what assessment finding does the nurse anticipate?

Answer :b -distended bladder -due to the incomplete voiding or unable to void urine due to obstruction of urethra.

6. The patient has a prostate ultrasound and is diagnosed with BPH. The health care provider prescribes drug therapy with finasteride.

What will the nurse teach the patient about this drug?

.Answer:d-It may cause postural hypotension; care should be taken when changing positions.

7. Six months later, the patient’s symptoms have not significantly improved, and he is referred to a surgeon for a transurethral resection of the prostate (TURP). Postoperatively, what are the priority nursing interventions for this patient? (Select all that apply.)

Priority nursing interventions focus on1.Assess for signs of  infection 2.check urine output every 2 hours.5.Administer pain and Antispasmodic drugs as needed.