Question

J.D. 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. 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

The nurse should obtain following information from the patient:

How many times he gets up for urinate at night,

How long he has experiences nighttime urination

Ask about If he has habit of drinking a lot of water before bed time or he has regularly taking any beverages like alcohol before bed time, which may considered as causes of nocturia.

Information regarding medication history: such as diuretics: The patient had history of hypertension and coronary artery disease, The doctor may prescribe the diuretics for him.

Major structure of the male genitalia

The male genital system divided into two (i.e) external and internal parts. The external structures consists of the penis, urethra, and two scrotal pouch. The internal male genitalia consists of the seminal vesicle, testes, vas deferens, epididymis, prostate, bulbourethral gland, and ejaculatory duct.

The urethra provides a common pathway for the flow of urine and semen.

The scrotal pouch.It contains one testis, one epididymis, and the testicular end of a spermatic cord.

Examination of the hernia

The patient is asked to lie down in supine position or seated position or standing position according to the patient comfortable.

Some times it may visible or otherwise ask the patient to do productive cough, the hernia may protrude and visible while coughing.

Most likely cause frequent urination at night are

• According to the National Association for continence, for the people over 60 years of age, the frequent urination especially at night time is common. The causes are because of bladder muscle weaken as aging , decreased capacity to control of urination.
• prostate hypertrophy