Which of these statements is most appropriate when the nurse is obtaining a genitourinary history from an older man?
a. "Do you need to get up at night to urinate?"
b. "Do you experience nocturnal emissions, or 'wet dreams'?"
c. "Do you know how to perform a testicular self-examination?"
d. "Has anyone ever touched your genitals when you did not want them to?"
ANS: A
The older male patient should be asked about the presence of nocturia. Awaking at night to urinate may be attributable to a diuretic medication, fluid retention from mild heart failure or varicose veins, or fluid ingestion 3 hours before bedtime, especially coffee and alcohol. The other questions are more appropriate for younger men.
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