Final answer:
The nurse should ask the male client about the onset and progression of his nocturia and pelvic fullness, as well as inquire about other symptoms, medical history, and changes in urination behavior to assess potential causes like UTI and prostate problems.
Step-by-step explanation:
A male client complains of nocturia and a feeling of fullness in the lower pelvic region. The nurse should conduct a thorough assessment by asking questions to determine the possible cause of these symptoms.
One of the vital assessment questions the nurse could ask is:
- "When did you first notice these symptoms, and have they been getting worse over time?"
This question is important, as it helps to establish the duration and progression of the symptoms which can be indicative of the underlying condition, such as a urinary tract infection (UTI), prostate problems or other medical issues. Considering the symptoms described, it's also pertinent to inquire about the patient's history of any related health issues, their fluid intake, and their ability to navigate to and from the bathroom.
Other possible assessment questions could include:
- "How would you describe the ‘fullness’ in your pelvic area – is it a constant sensation or does it come and go?"
- "Have you experienced any other symptoms, such as fever, changes in urine color, or difficulty starting urination?"
- "Do you have any known medical conditions, like prostate issues or neurological disorders that could be contributing to your symptoms?"
- "How often are you urinating at night, and has there been a recent change in the frequency?"
Through a comprehensive assessment, the healthcare provider can better understand the patient's condition and tailor an appropriate plan of care. Nocturia and pelvic fullness can be symptoms of various conditions, including but not limited to UTIs, prostate enlargement, or even diabetes. Timely diagnosis and management are crucial.