Question: 1 A 64-year-old client is admitted to the hospital with benign prostatic hypertrophy (BPH). He has a history of adult-onset diabetes and hypertension and is scheduled to undergo a resection of the prostate. When recording his health history, the nurse asks about his chief complaint. The most serious symptom that may accompany BPH is: A. Acute urinary retention B. Hesitancy in starting urination C. Increased frequency of urination D. Decreased force of the urinary stream Answer: A Explanation: (A) Acute urinary retention requires urgent medical attention. If measures such as a warm tub bath or warm tea donot occur after 6 hours, the client should go to the ED for catheterization. (B, C, D) This choice is a symptom of BPH, but it is not serious or life threatening. Question: 2 A primigravida is at term. The nurse can recognize the second stage of labor by the client’s desire to: A. Push during contractions B. Hyperventilate during contractions C. Walk between contractions D. Relax during contractions