The nurse is obtaining a history on a client stating nocturia. When evaluating the client's evening behaviors, which may be the cause of the problem?

A) The client takes 8 oz of water after dinner with her evening medications.
B) The client urinates for the evening while getting ready for bed.
C) The client takes a furosemide (Lasix) with the evening medications.
D) The client uses the Credé's maneuver when urinating at bedtime.


C
Feedback:
Taking a diuretic furosemide (Lasix) in the evening can produce nocturia when the therapeutic action of the medication is initiated. A diuretic should be administered in the morning or no later than early evening to avoid nocturia. Drinking water with medications after dinner, urinating before bed, and using the Credé's maneuver to remove urine from the bladder are acceptable methods to avoid large fluid intake before bedtime and eliminate urine from the bladder before the nighttime period.

Nursing

You might also like to view...

Mr. Calvin Green has smoked at least one pack of cigarettes a day for the past 59 years. He has been diagnosed with end-stage chronic obstructive pulmonary disease (COPD) and has been having symptoms of decreased oxygen perfusion

He has been confused and very anxious during these periods. He claims that his oxygen tubing is clogged and not giving him the oxygen he needs. Which of the following self-care strategies would assist Mr. Green to be more comfortable? a. Quitting smoking b. Increasing the liter flow on the oxygen c. Teaching him strategies to deal with anxiety and obstruction of air flow d. Increasing his dosage of narcotic pain relievers

Nursing

The nurse is providing education via phone to a client who called stating that the newly prescribed imipramine (Tofranil) is not working as depression is still a problem. Which question is most important to ask first?

A) "Are you feeling worse since taking the medication?" B) "How long have you been taking the medication?" C) "What time of day are you taking the medication?" D) "What dosage of medication are you taking?"

Nursing

The nurse is caring for a renal client on a low-protein diet. The nurse is aware that this client needs to make major adjustments to his diet. What should he be advised regarding eating?

A) Eat all the meat allowances early in the day. B) Increase intake of sugar and fat. C) Increase intake of grains and vegetables. D) Eat more vegetable sources of protein.

Nursing

Which of the following are considered "advance directives?" (Select all that apply.)

a. A living will b. A power of attorney for health care c. A notarized handwritten document d. A nursing progress note

Nursing