The nurse gathers a health history from a 58-year-old male client with acute urinary retention. Which of the following questions should the nurse ask to aid in assessing for benign prostatic hyperplasia? Select all that apply.

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11ecbb05_ca81_88c6_b433_4bc920612634_MD0009_00 With increasing age (typically age >50), male clients experience hormone changes that can lead to prostate enlargement, known as benign prostatic hyperplasia (BPH). BPH is often not diagnosed until it begins to compress the surrounding bladder and urethra, causing voiding difficulties and abnormalities. Clients with BPH exhibit the following signs and symptoms: Urinary retention Sensation of incomplete emptying and/or increased urgency to void (Option A) Straining or difficulty initiating voiding (hesitancy) (Option B) Weak and/or intermittent stream of urine during voiding (Option E) Frequent voiding patterns throughout the day (eg, urinating more than once in 2 hours) and night (nocturia) (Option D) (Option C) Frequency of sexual intercourse is unrelated to urinary retention and BPH in the male client. Educational objective: Benign prostatic hyperplasia (BPH) occurs with increasing age (usually in men age >50) and is often undiagnosed until voiding difficulties and abnormalities are observed. Typical BPH symptoms include acute urinary retention, voiding urgency, incomplete emptying, straining to void, weak urinary stream, urinary frequency, and nocturia.

The Nurse Gathers a Health History from a 58-Year-Old Male