Question from test today, need your opinion PLEASE!!

RN Rotten Nurse · Feb 13, 2004

This is the question [paraphrased]. I will post the correct answer and mine later. I want your opinion on which one you would choose!
This is for Post Partum Women.
Thanks!!
To help prevent a UTI which of the following is an appropriate action?
A.) Keep pt. on complete bedrest
B.) Have her hold her urine until the absolute last minute
C.) Force fluids at 3000ml per day
D.) Drink orange juice, grapefruit juice, and apple juice
I missed this question, the ONLY one I missed and I do not agree with my instructor's reasoning.
So which one do you choose and why?
Thank you soooo much!

It would have to be C or D though neither one is reasonable. I would choose D....the lesser of 2 evils.

perfectbluebuildings, BSN, RN · Feb 13, 2004

I would say D... but I do not like any of the answers really.

happystudent, RN · Feb 13, 2004

Im gonna go with D

3000l of fluid is an AWFUL LOT to force,,,,, :uhoh21:

Chrislynn2003 · Feb 13, 2004

C or D. I was thinking that maybe not D b/c I don't know if those juices would help prevent UTI; maybe cranberry juice or water. 3000mL is quite a lot of fluid, but it's reasonable, so my choice would probably lean more towards C.

Christine

been there · Feb 13, 2004

This is the question [paraphrased]. I will post the correct answer and mine later. I want your opinion on which one you would choose!
This is for Post Partum Women.
Thanks!!
To help prevent a UTI which of the following is an appropriate action?
A.) Keep pt. on complete bedrest
B.) Have her hold her urine until the absolute last minute
C.) Force fluids at 3000ml per day
D.) Drink orange juice, grapefruit juice, and apple juice
I missed this question, the ONLY one I missed and I do not agree with my instructor's reasoning.
So which one do you choose and why?
Thank you soooo much!

Choices given aren"t very good.....D is the best of what you have but I've always preferred drinking water and cranberry juice. I had the same issue in nursing school, even had the correct answer from the book that matched my answer....did me no good either but I SURVIVED. Lots of this stuff is going to happen....that's why no one can get the best of a nurse!!!!

Lasoniamacaroni · Feb 13, 2004

I am going with D. Most people swear by cranberry juice which is fine, but Vitamin C makes the urine acidic which inhibits the growth of bacteria, or so I think.

starcandy · Feb 13, 2004

C or D. I was thinking that maybe not D b/c I don't know if those juices would help prevent UTI; maybe cranberry juice or water. 3000mL is quite a lot of fluid, but it's reasonable, so my choice would probably lean more towards C.
Christine

I agree with you.

Starcandy

P_RN, ADN, RN · Feb 13, 2004

I'd have to go with C

findingmywayRN · Feb 13, 2004

C.) Force fluids at 3000ml per day
D.) Drink orange juice, grapefruit juice, and apple juice
So which one do you choose and why?

Both of these answers sound good. 3000 mls sounds like a lot, but it seems like D is obviously not stating cranberry juice (which is the best for UTI) or plain old water!!! So, I'd have to go with C.

gwenith, BSN, RN · Feb 13, 2004

This question reminds me of a Urologist who told me "Bugs don't live in a waterfall"

I just do not like the word "force" next to 3,000 mls - if the answer had said "advise her to take" then I would have picked C definitely. I agree with the other posters about Cranberry - recent research suggests that Cranberry actually makes the tissues more resistant to bacterial invasion in the first place - I am talking to my colleagues at the moment exploring the possibility of starting patients with IDCs on Cranberry to see if it will reduce infection rate in the average population - lots of evidence says it does for chronic UTI's but nothing for routine cath's.

berry · Feb 13, 2004

I wonder what the exact wording was in the question how postpartum is she, hell i dont know but 3000cc is alot of po fluids but NS at 125 cc/hr would give you the 3000 plus the po fluids.