The nurse is discussing a newly ordered diuretic with an older adult client who is home-bound. Which of the following suggestions has the greatest potential for minimizing the client's risk for injury related to urinary urgency or incontinence?
1. Consider decreasing fluid intake after 6 PM.
2. Illuminate the path to the bathroom at night.
3. Encourage the client to urinate immediately before bed.
4. Encourage the client to take the medication early in the morning.
ANS: 4
Nocturia and incontinence are more frequent in older adults. Give diuretics in the morning. While the other options may have value, they do not have an impact on the situation as directly as the administration of the medication.
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