If a client is diagnosed with benign prostatic hyperplasia (BPH), the nurse recognizes that the major concern with this condition is that:
a. without treatment, it may progress to prostatic cancer
b. urinary outlet obstruction, infection, and kidney damage may result
c. impotence occurs in the majority of clients
d. symptoms will worsen
B
Medical-surgical management includes balloon dilation, urethral stent, and prescribed alpha blockers; transurethral resection of the prostate (TURP), suprapubic or retropubic prostatectomy, or laser prostatectomy may also be necessary. Without treatment, BPH may lead to urinary outlet obstruction, infection, and kidney damage. Nursing care of clients who have BPH depends on whether the client is being treated medically or surgically; the type of surgical procedure performed will determine specific interventions. The TURP is performed most frequently; for this client, nursing care focuses on managing pain, monitoring fluid volume, and teaching about the condition. Client concerns about incontinence and sexual dysfunction should also be addressed.
You might also like to view...
Physical and chemical restraints are appropriately used when
a. All other treatments or interventions have been unsuccessful in promoting resident safety and health b. The physician orders the physical or chemical restraint c. The resident has a chronic mental illness that has significantly compromised his or her ability to follow directions during care d. The resident refuses to participate in his or her care
The community is conducting a planning session to identify potential disaster risks and to map potential disaster locations in the community. This period of planning and preparation is best described as the:
1. Predisaster stage. 2. Impact stage. 3. Nondisaster stage. 4. Recovery stage.
In which of the following situations would a nurse caring for a hospitalized client hold the dose of propranolol (Inderal)? Select all that apply
A) Pulse less than 60 bpm B) Blood glucose less than 100 mg/dL C) Irregular pulse D) Systolic pressure less than 90 mm Hg E) Diastolic pressure greater than 90 mm Hg
The nurse is preparing to provide a client with mouth care. What should the nurse do to ensure safe handling of the client's dentures?
1. Clean biting surfaces. 2. Place a washcloth in the bowl of the sink. 3. Replace the upper dentures first. 4. Rinse dentures thoroughly with hot water.