The nurse is discussing a middle-age adult male client's report of nocturia. The client has diabetes that is managed with diet and exercise as well as hypertension that is currently well-controlled with medication
The nurse should include which of the following as possible causes for his frequent urination at night? (Select all that apply.)
1. An enlarged prostate gland
2. Poorly controlled blood glucose
3. Drinking a cup of tea before bed
4. Possible side effect of his medication
5. Taking his diuretic too close to bedtime
6. Consuming too many liquids during the day
ANS: 1, 2, 3, 5
Excessive fluid intake before bed (especially coffee or alcohol), renal disease, the aging process, prostate enlargement, poorly controlled diabetes, and diuretic medication therapy scheduled late in the day can cause nocturia. If taken appropriately, his medications are not likely a cause.
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