The nurse assesses an older patient who takes diuretics and has a possible urinary tract infection (UTI). Which action should the nurse take first?
a. Palpate over the suprapubic area.
b. Inspect for abdominal distention.
c. Question the patient about hematuria.
d. Invite the patient to use the bathroom.
ANS: D
Before beginning the assessment of an older patient with a UTI and on diuretics, the nurse should have the patient empty the bladder because bladder fullness or discomfort will distract from the patient's ability to provide accurate information. The patient may seem disoriented if distracted by pain or urgency. The physical assessment data are obtained after the patient is as comfortable as possible.
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