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!

[fiestynurse]

"Dilution is always the best Solution"

Postpartum women are told to urinate frequently because a full bladder will displace the uterus and actually cause more bleeding. They also sometimes lose the urge to void or don't completely empty their bladders because of all the trauma to the perineum during birth. I use to have postpartum women lean forward slightly, while voiding, and press on their lower tummys to empty the bladder completely.

The cranberry has some unique enzymes found in no other food and it has some specific sugars that "attract" bacteria like a magnet." The sugar molecule that attracts the bacteria then carries it out of the body during urination. Secondly, cranberry is an acidifying food, and bacteria do not grow in an acid environment. It is usually recommended for women who have frequent UTIs.

The other juices have vitamin "C" which is also good for postpartum women, but for different reasons. I use to have women take their prenatal vits or iron tabs with a glass of juice high in vitamin "C" because it assisted in the absorption of iron. I suppose that these juices make the urine slightly more acidic, so they could help in the prevention of infections in women who are prone to them. But, cranberry juice is more effective.

[realnursealso/LPN, LPN]

Where I live it is against pts rights to force anything. The term now is encourge....lol

[mitchsmom]

My pharm class had a quiz question last week re: Synthroid that threw a bunch of us off. A & B were obviously not the answers (don't even remember what they were), C was something about not taking it with Kale/cabbage, and D was to wear a medic alert bracelet if you take Synthroid.

The answer was D. I have taken Synthroid for 15 years and no one has ever mentioned wearing a freakin bracelet, we haven't discussed bracelet guidelines in class, and no one I have ever known on Synthroid has worn a bracelet but that was the answer of course. I should have known it but I was unwisely using my own experience. It turned out that there was in fact something about cabbage/kale in the book (even though I actually didn't know that, I had tried to use process of elimination) and everyone got credit for the question after all. There was another one that was worded funny & had 2 correct answers but the teacher didn't go for it on that one and I still missed it. And on that note I better get back to studying for this week's quiz! :)

[Agnus]

Where I live it is against pts rights to force anything. The term now is encourge....lol

Thanks for the answer I did not see the earlier post of it. (this new format on the BB is confusing)

Force Fluids is a very old term. Even in the old days they did not litterally mean to force. I agree encourage is more accurate. I think the the old term should be abondonded. But there are still a few Docs and other out there that learned force fluids. (Old habits..)

The current recomendation is so many oz per pound or body wt. or cc/kg. I don't recall the ratio but I do remember that I at 170# should be drinking 3 quarts, that is now the current recomendation for optimum hydration instead of the 2 quart per adult that has been the recomendation.

[Agnus]

I would have gone with the medic alert answer. This is again a demonstration of the lag between practic and theory.

No one wears one or is even recomended to wear one for this that I know of but in "in an ideal world..." we would recomend it to patients.

This is going a little overboard with the simplicity of some of the stuff we are taught in school. I am not saying simple in terms of common sense I mean simple mindedness of some of the stuff we are taught.

I was told the physician had to perscribe the exact temp for a aqua K pad application. You can guess what happened when I ask a doc for the temp two weeks out of LPN school. :imbar

[kyutnurse]

I choose C - 3000 is ok "at least min of 2L per day"

Push fluids

D is not an option for me coz it did not say how much fluids??