Medical Surgical BPH #1

Question

The nurse is caring for a client with early signs of benign prostatic hyperplasia (BPH). During the health interview, the client states he has which characteristic symptom of BPH?

Answers

  1. Nocturia.
    • Rationale:

      This answer is not correct because nocturia is a late, not early, clinical manifestation associated with BPH. The enlarged prostate may compress the urethra, which courses through the center of the prostate, impeding the flow of urine from the bladder through the urethra to the outside. Therefore, an early manifestation for BPH is a decreased urine stream. The decreased force of the urine stream usually occurs early followed by dribbling forced stream. Other symptoms include urinary urgency, frequency, nocturia, post-void dribbling, hematuria, dysuria, and urinary tract infections from urinary stasis.

  2. Urinary retention.
    • Rationale:

      This answer is not correct because urinary retention is a late, not early, clinical manifestation associated with BPH. The enlarged prostate may compress the urethra, which courses through the center of the prostate, impeding the flow of urine from the bladder through the urethra to the outside. Therefore, an early manifestation for BPH is a decreased urine stream. The decreased force of the urine stream usually occurs early followed by dribbling forced stream. Other symptoms include urinary urgency, frequency, nocturia, post-void dribbling, hematuria, dysuria, and urinary tract infections from urinary stasis.

  3. Stress incontinence.
    • Rationale:

      This answer is not correct because stress incontinence is a late, not early, clinical manifestation associated with BPH. The enlarged prostate may compress the urethra, which courses through the center of the prostate, impeding the flow of urine from the bladder through the urethra to the outside. Therefore, an early manifestation for BPH is a decreased urine stream. The decreased force of the urine stream usually occurs early followed by dribbling forced stream. Other symptoms include urinary urgency, frequency, nocturia, post-void dribbling, hematuria, dysuria, and urinary tract infections from urinary stasis.

  4. Decreased urine stream.
    • Rationale:

      This answer is correct because the first manifestation associated with BPH is a decreased urine stream caused by the prostate gland applying pressure to the urethra. The enlarged prostate may compress the urethra, which courses through the center of the prostate, impeding the flow of urine from the bladder through the urethra to the outside. Therefore, an early manifestation for BPH is a decreased urine stream. The decreased force of the urine stream usually occurs early followed by dribbling forced stream. Other symptoms include urinary urgency, frequency, nocturia, post-void dribbling, hematuria, dysuria, and urinary tract infections from urinary stasis.

Overview

Benign prostatic hyperplasia (BPH) is a common, noncancerous enlargement of the prostate gland. The enlarged prostate may compress the urethra, which pushes through the center of the prostate, impeding the flow of urine from the bladder through the urethra to the outside. Therefore, an early manifestation for BPH is a decreased urine stream.

Explanation

Learning Outcomes

BPH is enlargement of the prostate gland which compresses the urethra causing partial or complete obstruction. The enlarged prostate may compress the urethra, which courses through the center of the prostate, impeding the flow of urine from the bladder through the urethra to the outside. Therefore, an early manifestation for BPH is a decreased urine stream. The decreased force of the urine stream usually occurs early followed by dribbling forced stream. Other symptoms include urinary urgency, frequency, nocturia, post-void dribbling, hematuria, dysuria, and urinary tract infections from urinary stasis.

Test Taking Tip

Consider the early versus late clinical manifestations of BPH to answer this question correctly.

Video Rationale