The nurse cares for a client with benign prostatic hyperplasia (BPH). Which statement most concerns the nurse?
1. "I take saw palmetto everyday with my regular medications."
2. "Getting up to go to the bathroom every two hours is annoying."
3. "Occasionally, I experience pain after ejaculation."
4. "The pain in my hip has been keeping me up at night."
4. "The pain in my hip has been keeping me up at night."
Explanation: 1. Though not approved or found to be effective, saw palmetto is commonly used for self-treatment of BPH. The nurse would be concerned if the client also has liver disease, pancreas disorder, or bleeding disorder.
2. Urinary frequency is part of BPH. The nurse would be concerned if the client had physical or mental alterations making this a safety risk.
3. Pain after ejaculation is associated with benign prostatic hyperplasia.
4. Pain in the bones is not associated with BPH. This is concerning for prostate cancer. BPH and prostate cancer have very similar symptoms. However, prostate cancer metastasizes to the hips, spine, and ribs often.
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