The nurse is caring for a male client of Japanese descent who is ...

[imanialler]

The nurse is caring for a male client of Japanese descent who is experiencing urinary retention. The client asks the nurse if it is possible that he is experiencing benign prostatic hyperplasia (BPH). Which response by the nurse is the most appropriate?
 
  A) No, you are not old enough to have BPH.
  B) Your symptoms are not consistent with BPH.
  C) Your provider will run some tests; however, you are considered low-risk for BPH
  D) Where did you get an idea that you might have BPH?

Question 2

During an interview with a client diagnosed with hepatitis B, the nurse obtains the following data: 10 kg weight loss is noted from the client's last visit 4 months ago; review of systems reveals
 
  1) limiting fatigue, 2) not well enough for sexual intercourse but doubts if her husband will be willing to use a condom, 3) drinks 3-5 mixed drinks weekly socially, 4) RUQ pain rated at 6/10, and 5) constant pruritus. Prioritize the nursing diagnoses formulated for this client.
  A. Imbalanced Nutrition
  B. Impaired Skin Integrity
  C. Acute Pain
  D. Deficient Knowledge

[cpetit11]

Answer to Question 1

Answer: C

The nurse must always provide honest responses to client questions. Telling the client that the provider will run tests but due to his ethnicity, he is considered low-risk for developing BPH. While age does increase the risk of BPH, it is not the only factor to consider. The client is experiencing urinary retention, which is consistent with BPH. Asking a client where he got that idea is demeaning.

Answer to Question 2

Answer: C, D, A, B

Relieving the pain associated with hepatitis and preventing the spread of infection are priorities of hepatitis management. Interventions related to knowledge deficit will address the potential for spread of the infection to the client's husband, use of alcohol, imbalanced nutrition, and impaired skin integrity.