Difficulty: Medium
Average Score: 64%
Simulated
The nurse educates the client about living with benign prostate hyperplasia (BPH). Select the 3 areas of teaching that should be included when providing education to the client with symptomatic benign prostate hyperplasia.
Correct answer
A,B,C
Rationale
Yearly PSA testing monitors for prostate cancer, which can coexist with BPH. Avoiding decongestants containing pseudoephedrine or phenylephrine is crucial because these alpha-adrenergic agonists increase smooth muscle tone in the prostate and bladder neck, worsening urinary obstruction. Limiting alcohol and caffeine reduces diuresis and bladder irritation, decreasing urinary frequency and urgency. Decreasing overall fluid intake is not recommended as it can lead to dehydration; instead, timing fluid intake (e.g., reducing evening fluids) is advised. Urinating when first feeling the urge prevents bladder overdistension. Exercise does not typically cause incontinence and is generally beneficial.