The nurse is discussing a middle-age adult male client's report ...

[pragya sharda]

The nurse is discussing a middle-age adult male client's report of nocturia. The client has diabetes that is managed with diet and exercise as well as hypertension that is currently well-controlled with medication.
 
  The nurse should include which of the following as possible causes for his frequent urination at night? (Select all that apply.)
  1. An enlarged prostate gland
  2. Poorly controlled blood glucose
  3. Drinking a cup of tea before bed
  4. Possible side effect of his medication
  5. Taking his diuretic too close to bedtime
  6. Consuming too many liquids during the day

Question 2

Which of the following symptomatology is reflective of a lower urinary tract infection? (Select all that apply.)
 
  1. Chills and fever
  2. Nausea and vomiting
  3. Frequency or urgency
  4. Cloudy or blood-tinged urine
  5. Pelvic tenderness or flank pain
  6. Burning or pain when voiding

[hanadaa]

Answer to Question 1

ANS: 1, 2, 3, 5
Excessive fluid intake before bed (especially coffee or alcohol), renal disease, the aging process, prostate enlargement, poorly controlled diabetes, and diuretic medication therapy scheduled late in the day can cause nocturia. If taken appropriately, his medications are not likely a cause.

Answer to Question 2

ANS: 1, 2, 3, 4, 6
Clients with lower UTIs have pain or burning during urination (dysuria) as urine flows over in-flamed tissues. Fever, chills, nausea, vomiting, and malaise develop as the infection worsens. An irritated bladder (cystitis) causes a frequent and urgent sensation of the need to void. Irritation to bladder and urethral mucosa results in blood-tinged urine (hematuria). The urine appears concen-trated and cloudy because of the presence of white blood cells (WBCs) or bacteria. If infection spreads to the upper urinary tract (kidneyspyelonephrit is, a serious renal condition), flank pain, tenderness, fever, and chills are common.

[pragya sharda]

Excellent

[amandalm]

TYSM