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NClex > Benign Prostatic Hyperplasia > Flashcards

Flashcards in Benign Prostatic Hyperplasia Deck (16)
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1

BPH is caused by ____?

The cause is unknown, but its an enlargement of the prostate gland.

2

Because the prostate blocks the urethra opening, clients will feel and see what when they urinate?

Straining to urinate, decreased urine stream,
feeling like they have to go all the time, dribbling urine flow

3

Who usually gets BPH?
What is the best way to assess for BPH?

Men usually > 50
Rectal exam, physician will feel a pea-sized nodule

4

What is the common surgical treatment for BPH

Transurethral resection of the prostate (TURP)

5

How is a TURP performed?

A scope goes through the penis and removes part of the prostate

6

After the procedure, what is the client is at risk for?

Bleeding; monitor for hemorrhage

7

All clients will get a ___ ___ ___ ___ before a TURP

Three-way (lumen) Foley catheter

8

What are the three lumens for?

Inflating the balloon, inflow of solution, and outflow of urine

9

What will the doctor order to be done after a TURP?

Continuous Bladder Irrigation (CBI)

10

Will an incision be made during the irrigation?

No, irrigation will be done using the in-dwelling catheter.

11

What type of fluid is used to irrigate the bladder?

Isontonic sterile saline

12

What color do you want the urine to be?

Light pink

13

During CBI what must the client be monitored for?

Bladder distention
Fluid overload/ * Hyponatremia
Blood loss

14

If bladder spasms occur, give ___ or___

Belladonna/ opium
suppositories or Ditropan

15

The best position for this client post-op is?

Lying flat because sitting up puts pressure on the bladder

16

List some discharge instructions

Drink two to three liters of fluids daily. No lifting or straining. If bright red clots are present call MD
Do Kegel exercises to strengthen pelvis muscles

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