Nur 113 elimination Exam Study Guide

Nur 113 elimination Exam Study Guide benign prostatic hypertrophy - Ans:-enlargement of the prostate gland Androgens - Ans:-male sex hormones -responsible for prostate growth BPH risk factors - Ans:--advanced age 60+ -lack physical activity -erectile dysfunction -abdominal obesity -family history BPH history - Ans:--retention -hesitancy, frequency, urgency, dysuria -nocturia -hematuria before or after voiding ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/12 -urinary stream alterations; dilated ureter -dribbling BPH Assessment - Ans:--hurts to pee? -hard to start or stop? -constant stream? -color and odor? -how do you know your bladder is not emptying? -do you feel a constant need to go? -does it wake you up at night? BPH physical findings - Ans:--visible midline mass above the symphysis pubis -distended bladder -enlarged prostate on digital rectal exam BPH lab results - Ans:--BUN and creatinine levels elevated -prostate specific antigen test (PSA) may be elevated, usually less than 10g/L ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/12 BPH imaging - Ans:--ultrasound reveals urinary tract obstruction -transrectal ultrasound reveals size of prostate gland -bladder scanner reveals postvoid residual urine volume cystourethroscopy - Ans:-procedure to view the urinary bladder and the urethra transurethral resection of the prostate (TURP) - Ans:-the surgical cure for BPH. An instrument inserted through the penile urethra is used to partially cut away the prostate to relieve obstruction of the urinary tract. after surgery warning - Ans:-watch out for signs of postobstructive diuresis, characterized by polyuria exceeding 2 L in 8 hours and excessive electrolyte loss. can result in vascular collapse and death if not recognized. Tamsulosin (Flomax) indication - Ans:-BPH -increases the flow Tamsulosin admin - Ans:--PO -do not crush -give drug 30 mins after same meal of the day ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/12 Tamulosin contraindications - Ans:--sulfa allergy -may cause hypotension and syncope with first dose -notify the Dr if you have an erection lasting longer than 4 hrs tamulosin nursing considerations - Ans:-monitor pt for decrease BP Finasteride (Proscar) - Ans:-to improve symptoms of BPH and