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Nclex Review > Benign Prostatic Hypertrophy > Flashcards

Benign Prostatic Hypertrophy Flashcards

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1
Q

In BHP the man has (increased/decreased) frequency of urination

A

Increased

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2
Q

In BPH the force of the urinary stream is (increased/decreased)

A

Decreased

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3
Q

The man with BPH has a______ stream of urine

A

Forked

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4
Q

The man with BPH has hesitancy. What does this mean?

A

Difficulty starting to void

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5
Q

Will the man with BPH have enuresis, nocturia or hematuria?

A

Enuresis-No, Nocturia-yes, and hematuria-maybe

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6
Q

Wha is the best way to screen a man for BPH?

A

Digital rectal exam

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7
Q

Should fluids be forced or restricted in BPH?

A

Forced

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8
Q

What does TURP stand for?

A

Transurethral resection of the prostate

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9
Q

The most radical prostate surgery is the _______ prostatectomy.

A

Perineal

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10
Q

What type of diet is used in BPH?

A

Acid Ash

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11
Q

What is the primary purpose of a 3-way continuous bladder irrigation (CBI) after TURP?

A

To keep he catheter clear of clots and to drain urine

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12
Q

What is the solution is used for CBI?

A

Normal saline (0.9NaCI)

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13
Q

How fast do you run the CBI?

A

At whatever rate it takes to keep the urine flowing and free of clots

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14
Q

What drug is used to treat bladder spasm?

A

B&O suppositories

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15
Q

Should you take a rectal temp after prostatectomy? Give stool softeners?

A

No rectal temp, yes stool softeners

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16
Q

You should call the MD after TURP when you see____thick_____,_______ clots, and ______ urine drainage on the dressing.

A

Bright thick blood, persistent clots, persistent urine on dressing (don’t call MD for transitory clots and urine on dressing)

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17
Q

If you see an increase in the blood content of urine coming out of the catheter, you would first_____

A

Pull carefully on the catheter to apply local pressure on the prostate with the foley balloon

18
Q

If you see clots in the tubing you would first_____

A

Increase the flow rate

19
Q

What exercises should be post-prospecting patient do upon discharge? why?

A

Perineal exercises, start and stop stream of urine, because dribbling is a common but temporary problem post-op

20
Q

Will the post_prostatectomy patient be impotent?

A

If TURP, no impotence; if perineal prostatectomy, yes impotence

21
Q

As the prostate enlarges it compresses the_____ and causes urinary_____.

A

Urethra,retention

22
Q

In BHP the man has (increased/decreased) frequency of urination

A

Increased

23
Q

In BPH the force of the urinary stream is (increased/decreased)

A

Decreased

24
Q

The man with BPH has a______ stream of urine

A

Forked

25
Q

The man with BPH has hesitancy. What does this mean?

A

Difficulty starting to void

26
Q

Will the man with BPH have enuresis, nocturia or hematuria?

A

Enuresis-No, Nocturia-yes, and hematuria-maybe

27
Q

Wha is the best way to screen a man for BPH?

A

Digital rectal exam

28
Q

Should be forced or restricted in BPH?

A

Forced

29
Q

What does TURP stand for?

A

Transurethral resection of the prostate

30
Q

The most radical prostate surgery is the _______ prostatectomy.

A

Perineal

31
Q

What type of diet is used in BPH?

A

Acid Ash

32
Q

What is the primary purpose of a 3-way continuous bladder irrigation (CBI) after TURP?

A

To keep he catheter clear of clots and to drain urine

33
Q

What is the solution is used for CBI?

A

Normal saline (0.9NaCI)

34
Q

How fast do you run the CBI?

A

At whatever rate it takes to keep the urine flowing and free of clots

35
Q

What drug is used to treat bladder spasm?

A

B$O suppositories

36
Q

Should you take a rectal temp after prostatectomy? Give stool softeners?

A

No rectal temp, yes stool softeners

37
Q

You should call the MD after TURP when you see____thick_____,_______ clots, and ______ urine drainage on the dressing.

A

Bright thick blood, persistent clots, persistent urine on dressing (don’t call MD for transitory clots and urine on dressing)

38
Q

If you see an increase in the blood content of urine coming out of the catheter, you would first_____

A

Pull carefully on the catheter to apply local pressure on the prostate with the foley balloon

39
Q

If you see clots in the tubing you would first_____

A

Increase the flow rate

40
Q

What exercises should be post-prospecting patient do upon discharge? why?

A

Perineal exercises, start and stop stream of urine, because dribbling is a common but temporary problem post-op

41
Q

Will the post_prostatectomy patient be impotent?

A

If TURP, no impotence; if perineal prostatectomy, yes impotence

42
Q

As the prostate enlarges it compresses the_____ and causes urinary_____.

A

Urethra,retention

Nclex Review (37 decks)

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