An older patient reports that sleep was being severely affected by the need to urinate frequently. The patient states he has begun restricting his fluid intake after 5 PM to help with the problem. The nurse responds
a. "Have you seen a decrease in waking up since you cut back on fluids?"
b. "You need sufficient fluids, so don't be too restrictive."
c. "You need the same amount over 24 hours, so drink enough by dinnertime."
d. "Have you had your prostate checked by your health care provider?"
C
It is important that older adults, who as a group are at risk for inadequate fluid intake and dehy-dration, not reduce the total amount of liquids drunk in 24 hours. This is a common issue in the older population, so the nurse educates the patient on the amount of fluid he or she needs in a 24-hour period. Telling the patient "don't be too restrictive" does not give the patient information to make an informed decision on fluids. The other two questions are good assessment questions, but physiologic safety and maintenance are more important.
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