ATI Med surg Study Guide Questions with
Correct Answers
Benign Hyperstatic Hyperplasia (BPH)
Can impair outflow of urine from the bladder, making a client susceptible to infection and
retention. Can lead to kidney infection.
BPH Manifestations
Urinary frequency.
Urgency.
Incomplete emptying of the bladder.
Urinary hesitancy.
Urinary incontinence.
Dribbling post-voiding.
Nocturia.
Diminished force of urinary stream.
Straining with urination.
Painless hematuria.
BPH Lab Tests
Urinalysis and culture (WBCs elevated and bacterial present with UTI).
Elevated BUN and creatinine (indicates kidney damage).
Prostate-specific antigen (PSA) to rule out prostate cancer.
BPH Nursing Care - Client Teaching
, Frequent ejaculation found to release prostatic fluids -- decreases the size of the prostate.
Avoid drinking large amounts of fluids at one time.
Avoid bladder stimulants -- alcohol & caffeine.
Avoid meds that decrease bladder tone -- anticholinergics, decongestants, and antihistamines.
BPH Nursing Care - Meds
Dihydrotesterone (DHT)-lowering meds - 5-alpha reductase inhibitor such as finasteride
(Proscar).
BPH Nursing Care - Meds - Client Education
May take 6 months to 1 year before effects of meds are evident.
Impotence and decrease of libido are possible.
Report breast enlargement to provider.
TURP
Performed using a resectoscope that is inserted through the urethra and trims away
excess prostatic tissue, enlarging passageway of the urethra through the prostate gland.
TURP Nursing Actions
Preop: Cardiovascular, respiratory, and renal systems should be carefully assessed prior to
surgery.
Postop: includes a placement of an indwelling three-way catheter.
Continuous Bladder Irrigation (TURP)
Rate is adjusted to keep the irrigation return pink or lighter.
If the catheter becomes obstructed (bladder spasms, reduced irrigation outflow), turn off
the CBI and irrigate with 50 mL of irrigation solution using a large piston syringe.
Record the amount of irrigating solution instilled, and the amount of return. The difference
equals urine output.
Ambulate ASAP.
Expected urine output after catheter removal is 150 - 200 mL q 3 to 4 hours.
Correct Answers
Benign Hyperstatic Hyperplasia (BPH)
Can impair outflow of urine from the bladder, making a client susceptible to infection and
retention. Can lead to kidney infection.
BPH Manifestations
Urinary frequency.
Urgency.
Incomplete emptying of the bladder.
Urinary hesitancy.
Urinary incontinence.
Dribbling post-voiding.
Nocturia.
Diminished force of urinary stream.
Straining with urination.
Painless hematuria.
BPH Lab Tests
Urinalysis and culture (WBCs elevated and bacterial present with UTI).
Elevated BUN and creatinine (indicates kidney damage).
Prostate-specific antigen (PSA) to rule out prostate cancer.
BPH Nursing Care - Client Teaching
, Frequent ejaculation found to release prostatic fluids -- decreases the size of the prostate.
Avoid drinking large amounts of fluids at one time.
Avoid bladder stimulants -- alcohol & caffeine.
Avoid meds that decrease bladder tone -- anticholinergics, decongestants, and antihistamines.
BPH Nursing Care - Meds
Dihydrotesterone (DHT)-lowering meds - 5-alpha reductase inhibitor such as finasteride
(Proscar).
BPH Nursing Care - Meds - Client Education
May take 6 months to 1 year before effects of meds are evident.
Impotence and decrease of libido are possible.
Report breast enlargement to provider.
TURP
Performed using a resectoscope that is inserted through the urethra and trims away
excess prostatic tissue, enlarging passageway of the urethra through the prostate gland.
TURP Nursing Actions
Preop: Cardiovascular, respiratory, and renal systems should be carefully assessed prior to
surgery.
Postop: includes a placement of an indwelling three-way catheter.
Continuous Bladder Irrigation (TURP)
Rate is adjusted to keep the irrigation return pink or lighter.
If the catheter becomes obstructed (bladder spasms, reduced irrigation outflow), turn off
the CBI and irrigate with 50 mL of irrigation solution using a large piston syringe.
Record the amount of irrigating solution instilled, and the amount of return. The difference
equals urine output.
Ambulate ASAP.
Expected urine output after catheter removal is 150 - 200 mL q 3 to 4 hours.
