Author Question: A 58-year-old patient who has been recently diagnosed with benign prostatic hyperplasia (BPH) tells ... (Read 127 times)

sabina · **on:** Jun 25, 2018

A 58-year-old patient who has been recently diagnosed with benign prostatic hyperplasia (BPH) tells the nurse that he does not want to have a transurethral resection of the prostate (TURP)

because it might affect his ability to maintain an erection during intercourse. Which action should the nurse take?
a. Provide teaching about medications for erectile dysfunction (ED).
b. Discuss that TURP does not commonly affect erectile function.
c. Offer reassurance that sperm production is not affected by TURP.
d. Discuss alternative methods of sexual expression besides intercourse.

Question 2

To determine the severity of the symptoms for a 68-year-old patient with benign prostatic hyperplasia (BPH) the nurse will ask the patient about

a. blood in the urine.
b. lower back or hip pain.
c. erectile dysfunction (ED).
d. force of the urinary stream.

aliotak · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
ED is not a concern with TURP, although retrograde ejaculation is likely and the nurse should discuss this with the patient. Erectile function is not usually affected by a TURP, so the patient will not need information about penile implants or reassurance that other forms of sexual expression may be used. Because the patient has not asked about fertility, reassurance about sperm production does not address his concerns.

Answer to Question 2

ANS: D
The American Urological Association (AUA) Symptom Index for a patient with BPH asks questions about the force and frequency of urination, nocturia, etc. Blood in the urine, ED, and back or hip pain are not typical symptoms of BPH.