Benign Prostatic Hyperplasia (BPH)

Question 1

BPH is caused by

Answer 1

The cause is unknown but it’s an enlargement of the prostate gland.

Question 2

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

Answer 2

Straining to urinate, decrease Uribe steak feeling like they have to go all the time, dribbling uterine flow

Question 3

Who usually gets BPH

Answer 3

Men usually >50

Question 4

What is the best way to assess for BPH?

Answer 4

Rectal exam, physician will feel a pea-sized nodule

Question 5

What is the common surgical treatment for BPH?

Answer 5

Transurethral resection of the prostate (TURP)

Question 6

How is a TURP performed?

Answer 6

A scope goes through the penis and removes parts of the prostate.

Question 7

After the procedure what is the client at risk for?

Answer 7

Bleeding; monitor for hemorrhage

Question 8

All clients will get a ____ before a TURP.

Answer 8

Three-way (lumen) foley catheter

Question 9

What are the three lumens for?

Answer 9

Inflating the balloon,inflow of solution and outflow of urine

Question 10

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

Answer 10

Continuous bladder Irrigation (CBI)

Question 11

What is the goal of the bladder irrigation?

Answer 11

Reduce/prevent blood clot formation

Question 12

Will an incision be made during the irrigation?

Answer 12

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

Question 13

What type of fluids is used to irrigate the bladder?

Answer 13

Isotonic sterile saline

Question 14

What color do you want the urine to be?

Answer 14

Light pink

Question 15

During CBI whats must the client be monitored for?

Answer 15

Bladder distribution fluid overload/Hyponatremia blood loss

Question 16

If bladder spasms occur give ____ or ____

Answer 16

Belladonna/opium suppositories or Ditropan