Question from test today, need your opinion PLEASE!!

[kwagner_51]

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!

[1OldDinosaurRN]

okay, i'm gonna go with d as the most correct answer. 3000ml is alot to choke down in my opinion. however, if in real life, i'd probably tell her to do both c & d!!

chin up. you will survive. we did. :)

[santhony44, MSN, RN, NP]

Maybe this just shows my age, but is the term "force fluids" not used any more?? A couple of people objected to this term. It was very commonly used when I started in nursing. It means "strongly encourage" to me, so I don't even blink when I see it used.

[orrnlori, RN]

Sheesh, I sure don't miss nursing school. Hurts my head just to read all the reasoning and watching folks try to pick it all apart from the stand point of wording. I think nursing classes made us all crazy.

[Chrislynn2003]

So what is the correct answer?

Christine

[kwagner_51]

So what is the correct answer?

Christine

I posted the answer earlier but for those who didn't see it, the answer is C=> force fluids.

Some of you figured it out and had the logic behind it. I got it wrong because it said PREVENT instead of her having one right now. I will NOT forget the answer to this question ever again!

Thanks everybody for your responses!!

[LolaRN]

c, especially if she is nursing too

[SmilingBluEyes]

I am with those who say forcing fluids is bad terminology. Most pp moms are NOT "sick" (labor/delivery are healthy, normal processes)--- and can be encouraged to drink fluids by bringing them fresh pitchers of water and juices each time we enter the room. I do just this....

the only way you are gonna "force" fluids, is by IV and no you are not gonna "force" 3000cc IV in even a day, or else risk other problems, like fluid overload. It is overly simplistic, as some women receive MASS quantities of IV fluid in labor anyhow, esp if they undergo epidural anesthesia. They are NOT all dehydrated. And, in birthing center and home birth situtions, women are not necessarily dehydrated, as they are rarely kept NPO in labor.

This is a perfect example of theory-practice gap. One you will see when you go out into the field. Best wishes...oh before I forget,

I work in OB> where we don't FORCE anything. (smile) :)

[Agnus]

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

A does not prevent infection

B has to do with bladder training

It used to be believe that holding urine caused UTI but this has been disproved with research. The bladder is a steril enviorment and that fact supports the reasearch.

c is the correct choice

d. Is interesting. It was once believed that the acidity of crandberry juice prevented bladder infection. We now know that it is not the acid but another component of crandberrys that make it harder for bacteria to cling to bladder walls (think it's an enzyme, but don't recall ecactly)

However, all the juices contain Vitamine C which is helpful in preventing infection but the ultimatley correct answer is drink lots of water. To keep the UT flushed out.

[eirthjona]

Sorry I might seem silly but Here women and men get told to drink 2 liters = 2000cc

a day in normal life so how would an extra liter be hard thing?

[FranEMTnurse, CNA, LPN, EMT-I]

Since answers A and B are obviously out of the question, and grapefruit juice can cause a severe reaction for people taking certain medications, I would also choose C. When forcing fluids, there's no chance of a patient picking up a UTI. It would be flushed out of the system with that much fluids.

[kyutnurse]

I would choose C, since D is too generalized...how much fluids? 1 tsp OJ?

3000 mls is alot but if you push fluids, the bacteria wont stay in the system, it will be flushed out. and besides, it did not specify that the patient have CHF, or on restricted fluids or NPO status.

[Keysnurse2008]

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 dayTHIS ONE D?T PP

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!

If it were an average person not PP id say the juice.....but this is a pp pt...who is at risk for volume depletion secondary to the birth...so id say push the fluids .......and think just about the lady partsl delivery process and the amniotic fld loss the EBL etc.