A nurse assesses an older adult who has been having a difficult time sleeping throughout the night and incontinence. Which of the following questions by the nurse will best provide clues to these problems?
A) "How many times a night do you get up to urinate?"
B) "What did your health care practitioner tell you about your medications?"
C) "What medications do you take when you need to stay asleep?"
D) "What beverages do you drink on a regular basis?"
Ans: D
Determining what medications the client has used PRN can be helpful, but an increase in caffeine intake might be making it difficult for the older adult to sleep. Sleep problems can be handled by decreasing caffeine intake rather than by giving the older adult a sleeping medication. Incontinence is not nocturia. "What did health care provider tell you" assesses the client's knowledge of medications; it does not address this issue.
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