A client with BPH is experiencing urinary retention and bladder distention. The nurse understands that, without proper treatment, the client is at risk for complications such as diverticula, hydroureter, and hydronephrosis. Which issue related to the client's condition is most important to address in order to reduce the risk for these complications?
A)The enlarging mass of prostatic tissue must be reduced.
B)Straining during urination must be avoided.
C)Bladder pain must be managed.
D)The weak urinary stream must be strengthened.

Question

Quizplus · Accepted Answer

A)The enlarging mass contributes to distention of the bladder, so this is the most important issue to address to avoid diverticula, hydroureter, and hydronephrosis. Straining during urination and weak stream are associated with voiding rather than urinary retention and are less critical to avoiding complications. Bladder pain is associated with storage rather than retention and should be addressed but is not critical to avoiding complications.
B)The enlarging mass contributes to distention of the bladder, so this is the most important issue to address to avoid diverticula, hydroureter, and hydronephrosis. Straining during urination and weak stream are associated with voiding rather than urinary retention and are less critical to avoiding complications. Bladder pain is associated with storage rather than retention and should be addressed but is not critical to avoiding complications.
C)The enlarging mass contributes to distention of the bladder, so this is the most important issue to address to avoid diverticula, hydroureter, and hydronephrosis. Straining during urination and weak stream are associated with voiding rather than urinary retention and are less critical to avoiding complications. Bladder pain is associated with storage rather than retention and should be addressed but is not critical to avoiding complications.
D)The enlarging mass contributes to distention of the bladder, so this is the most important issue to address to avoid diverticula, hydroureter, and hydronephrosis. Straining during urination and weak stream are associated with voiding rather than urinary retention and are less critical to avoiding complications. Bladder pain is associated with storage rather than retention and should be addressed but is not critical to avoiding complications.

A Client with BPH Is Experiencing Urinary Retention and Bladder