The Nurse Is Caring for a Patient with Benign Prostatic

question 24

Multiple Choice

The nurse is caring for a patient with benign prostatic hypertrophy who states that he feels a constant urge to urinate but cannot pass more than 30 to 60 mL of urine into the toilet at a time. The nurse performs a bladder scan and finds that there are 1100 mL of urine in the patient's bladder. What is the priority nursing diagnosis for this patient?

• A) Alteration in comfort r/t continual urge to urinate
• B) Overflow urinary incontinence r/t over-distention of the bladder
• C) Urinary retention r/t obstruction of urinary bladder outlet
• D) Toileting self-care deficit r/t inability to pass urine into the toilet

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Definitions:

Delusions

False beliefs held with strong conviction despite superior evidence to the contrary, often symptomatic of psychiatric disorders like schizophrenia.

Persecution

The harsh and unfair treatment of individuals or groups, especially because of race, religion, or political beliefs.

Word Salad

A disorganized speech pattern reflecting severe disconnection in thought, often seen in psychiatric conditions like schizophrenia, where words are jumbled without logical connection.

Dopamine Receptors

Proteins located on the surface of neurons that bind to dopamine and transmit its signal inside the cell, influencing mood, motivation, and pleasure.