A patient with nocturia reports having to urinate 3 or 4 times each night. Which recommendation by the nurse is most appropriate?
Limit fluid and caffeine intake before bed
Practice Kegel exercises to strengthen bladder muscles
Leave the bathroom light on to illuminate a pathway
Clear the path to the bathroom of all obstacles before bedtime
The Correct Answer is A
Choice A reason: Limiting fluid and caffeine intake before bed is the most effective way to reduce nocturia, as it decreases bladder volume and irritation overnight. Caffeine is a bladder stimulant, and reduced fluids minimize urine production, directly addressing the patient’s frequent urination.
Choice B reason: Practicing Kegel exercises strengthens pelvic floor muscles, aiding stress incontinence, but nocturia is more related to bladder overactivity or volume. Limiting fluids and caffeine more directly reduces nighttime urination frequency, making this less effective.
Choice C reason: Leaving the bathroom light on improves safety but does not address the cause of nocturia. Reducing fluid and caffeine intake directly decreases urination frequency, while lighting is a secondary safety measure, making this less appropriate.
Choice D reason: Clearing the path to the bathroom enhances safety but does not reduce nocturia’s frequency. Limiting fluid and caffeine intake before bed more effectively minimizes nighttime urination, making environmental adjustments a secondary consideration for this issue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Tiny blood clots in the urine (hematuria) suggest urinary tract infection or trauma, not directly related to incontinence or mobility issues. Skin irritation from prolonged urine exposure is more expected, making this finding less likely in this patient patient.
Choice B reason: Skin irritation and redness in the perineal area are expected in urinary incontinence and impaired mobility, as prolonged moisture and pressure cause maceration and dermatitis. This is a common complication requiring skin protection, making it the correct finding finding.
Choice C reason: Increased urinary frequency may occur in incontinence but is not the primary concern compared to skin damage from constant moisture due to impaired mobility. Perineal irritation is a more direct consequence, making this less specific to the described scenario.
Choice D reason: Decreased urine specific gravity indicates dilute urine, unrelated to incontinence or mobility. It may occur in overhydration, but skin irritation from urine exposure is the most relevant finding in this patient context, making this incorrect incorrect.
Correct Answer is D
Explanation
Choice A reason: Hydrogen peroxide can damage healthy tissue and delay healing in stage 3 pressure ulcers. Normal saline or prescribed solutions are preferred, making this an incorrect intervention for wound care.
Choice B reason: Massaging reddened areas risks further tissue damage, as pressure exacerbates ischemia in stage 3 ulcers. Avoiding pressure is critical, making this an incorrect and harmful intervention for care.
Choice C reason: Applying a heat lamp can dry the wound and cause burns, delaying healing. Moist wound environments promote recovery, making heat application inappropriate for stage 3 pressure ulcer management.
Choice D reason: Repositioning every 2 hours relieves pressure on stage 3 ulcers, promoting blood flow and preventing further tissue damage. This is a key intervention for healing, making it the correct choice.
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