ACTIVE LEARNING TEMPLATE:
System Disorder
STUDENT NAME _____________________________________
Benign Prostatic Hyperplasia
DISORDER/DISEASE PROCESS __________________________________________________________
Alterations in
Health (Diagnosis)
Pathophysiology Related
to Client Problem
Enlargement of the gland
that begins to cause urinary
dysfunction
Urinary retention related to obstruction in
the bladder neck or urethra as evidneced
by urinary hesitancy
REVIEW MODULE CHAPTER___________
Health Promotion and
Disease Prevention
Exercise on a regular basis to prevent
BPH or reduce the growth of it, is to
exercise regularly; try to exercise at least
30-minutes per day
ASSESSMENT
Risk Factors
Expected Findings
- Increased age
- Smoking, chronic alcohol use
- Sedentary lifestyle
- Western Diet
(high-fat, -protein, -carbohydrate; low-fiber)
- Diabetes, Heart Disease
Laboratory Tests
- International Prostate Symptom Score
- Urinary frequency, urgency, hesitancy, or
incontinence
- Incomplete emptying of bladder
- Urinary stasis & persistent urinary retention
Diagnostic Procedures
- Urinalysis
- CBC
- BUN & Creatinine
- Prostate - specific antigen
- Culture & sensitivity of prostatic fluid
- Monitor vital signs & urinary
output
- Admister/provide increased fluid
- Assist the client to ambulate as
soon as possible
- Monitor for bleeding
- Patient is at high
risk for urinary
tract infection
becuae they are
having an
obstruction that is
not allowing them
to urinate
- Digital rectal exam
- Transrectal ultrasound w/ needle
aspiration biopsy
- Early prostate cancer antigen
PATIENT-CENTERED CARE
Nursing Care
SAFETY
CONSIDERATION
S
Complications
Medications
- Finasteride
(Dihydrotestosterone
(DHT) - lowering
medications)
- Tamsulosin
(Alpha - blocking
agents)
Client Education
- Frequent ejaculation releases
- Avoid drinking large amount
fluids at one time
- Avoid bladder stimulants
- Avoid medications that cause
decreased bladder tone
- Urinary tract
infections (UTIs)
- Bladder stone
- Bladder damage
- Kidney damage
r
Therapeutic Procedures
- Prostatic stent
- Transurethral resection of the
prostate (TURP)
- Transurethral needle ablation
- Surgical resection
ACTIVE LEARNING TEMPLATES
Interprofessional Care
- Urology
- Regrowth of prostate
tissue
- Reoccurence of
bladder neck
obstruction
In Text Citation: Holman, H. C., Williams, D., Sommer, S., Johnson, J., Ball, B. S., Wheless, L., Leehy,
P., & Lemon, T. (2022). Content Mastery Series: RN Adult Medical Surgical Nursing (11th ed., pp.
233-237). ATI.