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? What is the Rationale for obtaining that information ? Please respond to using no less than 100 words.

In order to obtain pertinent subjective information from J.D., the nurse should inquire about the frequency and the amount of nocturia (increased urination at night) he experiences. The nurse should also ask if J.D. has experienced any other urinary symptoms such as urgency, dysuria, or hesitancy. Additionally, it would be important to ask about any recent changes in J.D.’s medication regimen, as certain drugs can contribute to nocturia. Inquiring about any recent changes in fluid intake, especially consuming excessive amounts of fluids before bedtime, can provide valuable information as well.

The rationale for obtaining this information is to assess the nature and severity of J.D.’s nocturia symptoms and to gather information that could aid in identifying potential underlying causes. By determining the frequency and amount of nocturia, the nurse can evaluate the impact it has on J.D.’s sleep quality and daily functioning. Inquiring about other urinary symptoms can help identify potential urinary tract infections or other urological issues that may contribute to nocturia. Considering any recent changes in medication or fluid intake can provide insight into possible factors that may be exacerbating J.D.’s nocturia symptoms. Therefore, obtaining this subjective information will assist in formulating an appropriate course of action for further assessment and management of J.D.’s presenting complaint.

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