Medical Surgical BPH #2

Question

The nurse is performing discharge teaching to a client with benign prostatic hypertrophy (BPH). Which should she include in her teaching plan?

Answers

  1. Instruct the client to decrease caffeine and artificial sweeteners.
    • Rationale:

      This answer is correct because caffeine acts as a diuretic, which causes more frequent urination. Artificial sweeteners irritate the bladder and increase bladder contractions. For these reasons, clients with BPH who already have an overactive bladder will want to avoid caffeine and artificial sweeteners.

  2. Have the client maintain a low-oxalate diet.
    • Rationale:

      This answer is not correct because oxalates form kidney stones. Clients who are at risk for kidney stones would want to follow a diet low in oxalates to prevent kidney stone formation.

  3. Client is to avoid glutenous foods.
    • Rationale:

      This answer is not correct because avoiding gluten is required for clients with celiac disease. Gluten triggers an immune reaction in those with celiac disease, causing inflammatory damage to their bodies.

  4. Advise the client to follow a low tyramine diet.
    • Rationale:

      This answer is not correct because foods high in tyramine are contraindicated in clients taking monoamine oxidase inhibitors (MAOIs). Tyramine leads to vasoconstriction and the interaction with MAOIs causes high levels which results in dangerously high blood pressure.

Overview

BPH is enlargement of the prostate gland which compresses the urethra causing partial or complete obstruction. Discharge teaching for a client with BPH should include teaching to decrease caffeine and artificial sweeteners.

Explanation

Learning Outcomes

BPH is enlargement of the prostate gland which compresses the urethra causing partial or complete obstruction. Symptoms include urinary urgency, frequency, nocturia, post-void dribbling, hematuria, dysuria, and urinary tract infections from urinary stasis. Diet and nutrition plays an important role in all body functions; however, there is no specific diet to follow for clients with BPH. Acidic and spicy foods irritate the bladder. Caffeine acts as a diuretic, which causes more frequent urination. Artificial sweeteners irritate the bladder and increase bladder contractions. For these reasons, clients with BPH who already have an overactive bladder will want to avoid acidic and spicy foods, caffeine and artificial sweeteners.

Test Taking Tip

Know the types of diets and foods that clients should avoid with certain disease processes. Read up on the effects of caffeine, artificial sweeteners, oxalates, gluten and tyramine foods on the body and which foods contain each of these.

Video Rationale