BPH

Question 1

BPH:

Answer 1

Benign prostatic hyperplasia

No malignant enlargement of the prostrate gland commonly sent in the aging man

Question 2

T/F

BPH is the most common benign neoplasm in men

Answer 2

True

Question 3

BPH begins as ____

Answer 3

Small nodules

Question 4

Androgen

Answer 4

Type of hormone that stimulates the development and maintenance of male sex characteristics
Signals DHT

Question 5

DHT

Answer 5

Dihydrotestosterone
Mediates prostatic growth
Prostate sensitive to this

Question 6

Hyperplasia

Answer 6

Increase in the number of cells

Question 7

Risk Factors:

Answer 7

Age
Testosterone
African American men (more severe and progressive)

Question 8

Two main risk factors

Answer 8

Age

Testosterone

Question 9

Medications to avoid

Answer 9

OTC meds
Antihistamines
Decongestants
Phenylephrine

Question 10

Indications of BPH

Answer 10

Dysuria
Frequency
Urgency
Leakage
Decreased force of stream
Hesitancy
No tutus

Question 11

Most common diagnostic test for BPH

Answer 11

Digital rectal examination (DRE)

Question 12

Surgery

Answer 12

TUNA
TURP
TUIP

Question 13

TURP w/ CBI:

Rate of flow?

Answer 13

Should be maintained to keep the output light pink or colorless

Question 14

TUNA

Answer 14

Low level radio frequency through twin needles to burn away a region of the enlarged prostate

Improves flow of urine

Question 15

TURP

Answer 15

Most often used
Remove obstructing prostate tissue
Flushed into bladder
Stored until end of surger

Question 16

Post op complications of TURP

Answer 16

Hemorrhage
Clot retention
Inability to void
UTI

Question 17

TUIP

Answer 17

Small incisions made in the smooth muscle where the prostate is attached to the bladder neck

Question 18

Pharm therapy

Answer 18

Alpha blockers

5-alpha reductive inhibitors

Question 19

Nonpharmalogic Therapy

Answer 19

Urinate at first urge
Avoid alcohol and caffeine
Drink small amounts of fluid throughout the day enter
avoid drinking fluids within two hours bedtime
avoid over-the-counter’s cold and sinus medication that contains decongestion’s and/or anti-histamines
exercising regularly including pelvic floor exercises
reducing stress

Question 20

At what age should men be assessed for possible BPH

Answer 20

40 years old

Question 21

Clinical manifestations that the nurse should expect to observe when assessing a client with BPH

Answer 21

Symptoms of voiding BPH include hesitancy 
incomplete emptying 
weak or intermittent urinary stream 
dribbling at the end of ruination
Straining during urination

Question 22

Clinical manifestations of storage BPH

Answer 22

Frequency and incontinence

Question 23

True or false

BPH is the most common benign tumor in men and almost all man will develop BPH if they live long enough

Answer 23

True

Question 24

True or false
Hyper trophy of the detrusor muscle of the bladder to compensate For increased resistance eventually result in bladder instability and decreased bladder capability

Answer 24

True

Question 25

Natural ways to do about the BPH Without medications

Answer 25

Lifestyle changes that may help clients with mild BPH include avoiding alcohol and caffeine exercising regularly, including Kegel exercises, avoiding drinking fluids within two hours of bedtime, and reducing stress

Question 26

Post perineal prostatectomy

Answer 26

A client should not use enemas to address constipation due to the proximity of the incision to the anus. This results in a high risk for infection.
A fluid intake 2 to 3 L per day is recommended to prevent UTIs.
Perineal irrigations with sterile normal saline should be down after each bowel movement to help prevent infection infection.

Question 27

Which instructions and the nurse include to promote healing for a client being discharged post prostate surgery?

Answer 27

Upon discharge the client should be instructed to avoid strenuous activity and heavy lifting, drink food juices, and take stool softeners as ordered, and to avoid sexual activity for at least six weeks after surgery. The client should not drive for at least two weeks. NSAIDs should not be used for at least two weeks after surgery.

Question 28

Five alpha reductase inhibitor
Dutasteride (Avodart)
Potential adverse effects that the nurse should include in teaching about this medication

Answer 28

Impotence
Decreased libido
Decreased volume of ejaculation

Question 29

Diagnostic tests for BPH

Answer 29

UA
DRE
PSA
Ultrasound or postvoid cath

Question 30

Which findings of BPH would support the need for surgery

Answer 30

Urinary retention, hematuria, Bladder stones, and renal insufficiency secondary to be BPH

Question 31

Which procedure Has the lowest risk for postop retrograde ejaculation

Answer 31

TUIP

Question 32

TURP

Symptoms of TURP syndrome

Answer 32

TURP Syndrome occurs when the client absorbs the irrigation fluids during and after surgery.
Clinical manifestations are hypo natremia, decreased hematocrit, hypertension, bradycardia, Nausea, and confusion.

Question 33

Post op TURP

Assess for which complications

Answer 33

During the first 24 to 48 hours after a TURP, the client should be monitored closely for hemorrhage, the presence of large blood clot’s, decreased urinary output, increase bladder spasms, decreased hemoglobin in hematocrit, tachycardia, and hypotension.

Question 34

Discharge instructions for a client who has undergone prostate surgery

Answer 34

Bleeding
BM
Activity
Sexual intercourse

Question 35

Which elements of a health history for a client with BPH should be documented

Answer 35

Pain, blood in the urine, wrist factors, and urinary elimination patterns

Question 36

CBI:

Answer 36

Prevents the nation of blood clots, which can obstruct urinary output.

If the patient has a CB high, assess the catheter in the drainage tube at regular intervals. Maintain the rate of flow of irrigating fluid to keep the output light pink or colorless. Assess the urinary output every 1 to 2 hours for color consistency of them out, and presents that blood clots. Assess the patient for bladder spasms and pain.