The nurse admits a 62-year-old man who reports, "I always feel like I need to void, but it takes so long for me to get my flow started, and then I only go a few drops." The nurse suspects:
1. Bladder infection.
2. Benign prostatic hypertrophy.
3. Renal failure.
4. Prostatitis.
2
Rationale: Enlargement of the prostate places pressure on the urethra, making it difficult to begin the stream, and causes inadequate emptying, leading to frequency. Prostatitis manifests with fever, chills, frequency, and nocturia, and can include back pain and pain after ejaculation. Renal failure would result in reduced urine output and edema. Bladder infection will need to be ruled out, but with the client's age, BPH would be a higher likelihood.
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