Which of the following statements made by a client with benign prostatic hypertrophy (BPH) during an admissions interview reflects the best understanding of the long-term effects of this condition?
1. “I usually get up 3 to 4 times a night to urinate.”
2. “My health care provider prescribed some medication that has helped.”
3. “At least I can usually empty my bladder; I really hate that feeling of being full.”
4. “The prostate specific antigen (PSA) results have stayed stable for the last 3 tests.”
ANSWER
ANS: 3
If a chronic obstruction such as prostate enlargement hinders bladder emptying, over time the micturition reflex changes, causing bladder overactivity, and can cause the bladder to not com-pletely empty. The remaining options focus on the impact the condition has on daily living and the monitoring of the client for prostate cancer.
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