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    Med Surg 2 Proctored ExamQuestion 55
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    Med Surg 2 Proctored Exam

    The nurse is conducting a history on a male client to determine the severity of symptoms associated with prostate enlargement. Which finding is cause for prompt action by the nurse?

    Explanation & Rationale

    A. Hematuria: The presence of blood in the urine is an alarming symptom that may indicate serious underlying pathology, such as bladder cancer, prostate cancer, or significant urinary tract injury. Hematuria in a client with prostate enlargement requires prompt evaluation to rule out malignancy or acute complications, making it the highest-priority finding. B. Weak urinary stream: A weak urinary stream is a common symptom of benign prostatic hyperplasia (BPH) due to obstruction of urine flow. While it impacts quality of life, it is generally not immediately life-threatening and does not require urgent intervention. C. Postvoid dribbling: Postvoid dribbling occurs when small amounts of urine remain in the urethra or bladder after voiding. It is typical in prostate enlargement but usually does not indicate acute complications, making it a lower priority for immediate action. D. Urinary hesitancy: Difficulty initiating urination is a classic symptom of BPH. While it can lead to urinary retention over time, it is generally not an emergency unless accompanied by severe pain, inability to void, or other acute complications.

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