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    Med Surg 2 Proctored ExamQuestion 77
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    Med Surg 2 Proctored Exam

    A nurse teaching a client diagnosed with benign prostatic hyperplasia (BPH). What statement indicates the client needs further information?

    Explanation & Rationale

    A. "There should be no problem with drinking wine with dinner each night.": Alcohol can worsen symptoms of benign prostatic hyperplasia by causing bladder irritation and increasing urinary frequency and urgency. It can also contribute to dehydration and impair bladder contractility, potentially exacerbating urinary retention. B. "I am so glad that I weaned myself off of coffee about a year ago.": Caffeine is a known bladder stimulant and diuretic that can increase urinary frequency, urgency, and nocturia in clients with BPH. Avoiding caffeine helps reduce lower urinary tract symptoms and is an appropriate lifestyle modification consistent with clinical recommendations. C. "I need to inform my allergist that I cannot take my normal antihistamine.": Many antihistamines have anticholinergic effects, which can decrease bladder detrusor muscle contraction and worsen urinary retention in BPH. Informing healthcare providers about this condition is appropriate to avoid medications that may exacerbate symptoms. D. "My routine of drinking a quart (liter) of water first thing in the morning needs to change.": Rapid intake of large volumes of fluid can increase urinary urgency and frequency, placing additional strain on an already obstructed urinary outflow. Spacing fluid intake throughout the day is recommended to help manage symptoms, making this appropriate.

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