Clinical Assignment # 2

Clinical Assignment # 2 ADH I

For this clinical assignment read the following case study and answer the questions that

follow. The questions should be written in paper format and should include at least two

references, the paper should be written in APA format. Please follow the grading rubric attached

to attain all points.

Case Study: Benign Prostatic Hyperplasia (BPH)

Mr. Smith is a 65-year old businessman. He is a chain smoker for more than 40 years and had

indulged in the lifestyle of the rich since he became a successful businessman at the age of 35.

Now in his 60s, he is experiencing the consequences of the sedentary lifestyle he once lived. He

has frequent trips to the bathroom at night and even at day. He sometimes could not contain the

urges to urinate. And lately, he noticed that his urine stream is going weak and dribbles. He

consulted a urologist and he was diagnosed with benign prostatic hyperplasia.

1. Describe the pathophysiology of BPH.

2. What symptom would the patient present with. Explain what is cause of the symptoms

based on the pathophysiology.

3. What physical examination would be performed?

4. What are the diagnostic tests would be used to evaluate the prostate gland?

5. What medications are used to manage BPH? What are potential side effects? What is the

nursing implementation?

6. Describe the surgical procedure of a TURP.

7. What is CBI used after a TURP? Describe the care for the patient. This should include

general care as well as directly related to the CBI. Be sure to address pain-bladder spasm

related to the CBI.

8. What would be discharge instructions.

9. References-please use APA formatting

Criteria

4pts.

Completely

answered the

question clearly

and accurately

3 pts.

3 of the 4

answers are

present, clear and

accurate

2 pts.

1 of the 2

answers is

present, clear and

accurate

0 pts.

questions is not

done

Pathophysiology

Symptoms

Physical Exam

Diagnostic Exam

Medications

TURP

CBI & Care

Discharge

References

Correct format,

use of textbook

and at least 1

other source

Correct format,

use of textbook

Format incorrect;

only use textbook

Not reference

documented

Total From Each

Column

Final Score 36

(Passing 27)