When preparing educational information regarding benign prostatic hyperplasia (BPH) for a group of older male patients, the nurse includes which of the following? (Select all that apply.)
a. Eighty percent of males experience the symptoms by age 80.
b. Diabetes mellitus is a risk factor.
c. It is only as the prostate enlarges that symptoms occur.
d. The resulting urinary retention can cause urinary tract infections.
e. Symptoms are a result of urethral obstruc-tion.
A, C, D, E
Approximately 80% of men may be diagnosed with BPH by the age of 80 . In early prostatic en-largement, the patient may be asymptomatic because the muscles may initially compensate for increased urethral resistance. As the prostate gland enlarges, the patient begins to manifest symptoms of an obstructive process. The symptoms may include hesitancy, a decrease in the force of the urinary stream, terminal dribbling, a sensation of a full bladder after voiding, and urinary retention. Urethral obstruction may cause urinary stasis, UTIs, hydronephrosis, and renal calculi. Diabetes is not a risk factor.
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The parents of a newborn are receiving discharge teaching. The nurse explains that the infant should have several wet diapers per day. Which statement by the parents indicates that further education is necessary?
1. "Our baby was born with kidneys that are too small." 2. "A baby's kidneys don't concentrate urine well for several months." 3. "Feeding our baby frequently will help the kidneys function." 4. "Kidney function in an infant is very different from in an adult."
A smooth round nodule with a pearly gray border and central induration best describes which skin lesion?
A. Seborrheic keratosis B. Malignant melanoma C. Herpes zoster D. Basal cell carcinoma
When a manager pays attention to group dynamics and fosters cooperation to increase productivity, the approach is based on:
1. Classical management 2. Scientific management 3. Expectancy theory 4. Reinforcement theory
A client admitted to the hospital has a do-not-resuscitate (DNR) order in his medical record. The nurse understands that:
A. The DNR order may not be changed once it is in effect B. The DNR order requires frequent review as specified by state or agency policy C. The only people who may change the DNR order are members of the client's immediate family D. The DNR order, as written on admission, must remain in effect for the duration of the client's hospitalization