Medical Surgical BPH #4

Question

The nurse is caring for a 57-year-old client with a UTI. He complains he never started getting urinary tract infections until over the last couple of years. Which statement by the nurse likely explains the rationale for this observation by the client?

Answers

  1. “As men age, their prostate slowly enlarges causing inability to completely empty the bladder, which can result in an infection.”
    • Rationale:

      This answer is correct because the enlargement of the prostate blocks the flow of urine from the bladder. So the male is unable to completely empty this bladder. This causes the urine to become stagnant and encourages growth of bacteria.

  2. “It would be helpful to follow a diet low in acidic and spicy foods, as well as limit the intake of caffeine to prevent UTIs.”
    • Rationale:

      This answer is not correct since it does not provide a rationale as to why the client is having increased UTIs over the last couple of years. Eating those foods do not increase the chance of urinary tract infections; however, limiting intake will decrease the urinary symptoms associated with BPH that can lead to a UTI.

  3. “An enlarged prostate causes UTIs because prostatitis occurs that leads to infection.”
    • Rationale:

      This answer is not correct because prostatitis and BPH are two different diagnoses. Prostatitis is inflammation of the prostate due to bacteria entering the prostate and BPH is the gradual enlargement of the prostate as a man ages over 50 years.

  4. “As men age they are more likely to contract a UTI through sexual contact.”
    • Rationale:

      This answer is not correct since it is a judgement, not a fact. UTIs may be caused through sexual contact by microorganisms from gonorrhea and Chlamydia, but older men are more likely to get a UTI from an enlarging prostate obstructing the flow of urine.

Overview

Urinary tract infections are associated with BPH because the enlargement of the prostate blocks the flow of urine from the bladder. This causes the urine to become stagnant and encourages growth of bacteria.

Explanation

Learning Outcomes

Urinary tract infections are associated with BPH because the enlargement of the prostate blocks the flow of urine from the bladder. Being able to empty the bladder flushes bacteria out and helps prevent UTIs. When there is an obstruction, the client is unable to completely empty the bladder. This causes the urine to become stagnant. When urine sits in the bladder and is not flushed out appropriately, it becomes a medium for bacteria growth. Being treated for the symptoms of BPH will promote urine flow. This will hopefully decrease UTIs.

Test Taking Tip

Having basic knowledge of the male anatomy will lead the student to the conclusion that as a man grows older, his prostate enlarges, which causes bladder obstruction, which leads to an inability to empty the bladder completely, which brings about stagnant urine, and ultimately results in a UTI.

Video Rationale