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NUR 152 - Test 3 Questions with correct Answers 100% and detailed solutions
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STUVIA 2024/2025NUR 152 - Test 3
What is BPH?
Benign prostatic hyperplasia
Non malignant enlargement of the prostate
How long does it typically take for a prostate to become enlarged?
Long period of time
What are some clinical manifestations of BPH?
-Urinary frequency, obstruction, or retention
-Stone formation
-Dysuria
-Nocturia
-Urinary obstruction (UTI)
-Decreased bladder contractility/compliance
-Bladder distention
-Kidney damage
How many men in their 50s-60s have symptoms of BPH?
>50%
How many men in their 80+s have symptoms of BPH?
%
90%
What patient demographic will have earlier symptoms of BPH?
-Black
-Hispanic
What kind of diet increases a persons risk of BPH?
High in red meats/fats
How does BPH affect the bladder in terms of fluid balance?
Bladder becomes more fibrous, leading to an inability to concentrate urine, leading to dehydration
What is an early sign of BPH?
Decrease in the force of urine stream
What is the IPSS?
International Prostate Symptom Score; used to help diagnose BPH, track signs and
symptoms, and suggest management
What alpha-adrenergic blocker is commonly used to treat BPH?
-Tamulosin (Flomax)
-Doxazosin (Cardura)
-Terazosin (Hytrin)
-Alfuzosin (Uroxatral)
"-osins"
What is a common side effect of alpha adrenergic blockers?
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, STUVIA 2024/2025
Orthostatic hypotension
What 5 alpha-reductase inhibitors are used to treat BPH?
-Finasteride (Proscar)
-Dutasteride (Avodart)
What is the MOA of a 5 alpha-reductase inhibitor?
Block the conversion of testosterone to DHT
What is the MOA of alpha adrenergic blockers?
Relax smooth muscle of bladder neck and prostate resulting in better urine flow
What is a common prostatectomy surgery used to treat BPH?
Transurethral resection of the prostate (TURP)
What is an important concern for a post-prostatectomy patient?
Hemorrhage
What prostatectomy procedure would be preferred for a patient on anticoagulation therapy
(I.e. Eliquis, lovenox, heparin, coumadin, etc.)?
Transurethral needle ablation (TUNA)
What is the purpose of continuous bladder irrigation (CBI)?
To prevent clot formation
What are some postop care points for BPH?
-Monitor urine
-Promote fluids
%
-Assess for hemorrhage
-Assess for pain
What is used to treat bladder spasms?
Belladonna and opium suppository
When do you notify the provider when giving continuous bladder irrigation?
Red bloody urine
What are we assessing for when doing CBI?
-Urine color (not dark red blood urine)
-Clots
-Bladder spasms
-Urine consistency
-Urine amount
What are the clinical manifestations of TURP syndrome?
-Hypertension
-Decreased HCT
-Hyponatremia
-Bradycardia
-Nausea
-Confusion
What is TURP syndrome?
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