Question

DJ is a 64-year-old man who presents to the family practice complaining of increased urination at night. The patient has a past medical history of hypertension, hyperlipidemia, and coronary artery disease (CAD). Vital signs are T 97.5, P 85, R 16, and BP 120/60.

Questions:

What subjective information should the nurse obtain?

The nurse is performing the physical examination of the patient’s genitals. What are the major structures of the male genitalia?

The nurse needs to assess the patient for a hernia. What is the proper procedure for this assessment?

What is the most likely cause of this patient’s urinary frequency at night?

Answer 1

1) The subjective information the nurse should obtain from the patient includes: a) How often does he wakes up at night. b) The nurse should find out the storage capacity of the bladder during the day and at night. c) How much does the frequent passing of urine bothers him. d) What medication has he taken . e) How often does he sleeps.

2) The major structure of the male genitals are: penis, urethra and scrotum, these are the external male genitals. The internal male genitals includes, vas deferens, seminal vessicles , testes, epididymis , prostate, ejaculatory ducts etc . Penis: This is the organ for sexual intercourse. Urethra: This is the tube that carries urine from the bladder to outside of the body. Scrotum: This is a loose pounch like sac that hangs behind and below the penis.

3) The proper procedure for the assessment of hernia are: The doctor carry out the assessment of the groin area, if there is any bulge , because standing and coughing can make a hernia conspicuous. The patient will be be ask to strain or cough but if the doctor's observation is not clear enough,then imaging test( abdominal ultrasound) will be carried out.

4) The most likely causes of frequent urination at night includes: a)The intake of much water in the evening. b) infections of the bladder or urinary tract. c) The intake of alcohol or caffeine can result to frequent urination at night.