Medical Surgical UTI & Pyelonephritis #9

Question

The nurse provides care for a client with cystitis who does not drink fluids while at work. How should the nurse address fluid intake as part of health promotion activities?

Answers

  1. “Drink a lot more fluids as you are not getting enough.”
    • Rationale:

      This answer is not correct because although this may be a true statement to the client from the nurse, it does not provide interventions that can be implemented day-to-day to increase oral fluid intake.

  2. “Can you at least triple the amount of fluids you are drinking?”
    • Rationale:

      This answer is not correct because without having baseline data regarding the amount of fluid that is currently being consumed by the client on a daily basis, this is not an appropriate recommendation.

  3. “Don’t worry about drinking at work since morning and evening should be enough.”
    • Rationale:

      This answer is not correct because in order to achieve the 3 liters of fluid recommended each day due to the client’s cystitis, this is not an appropriate teaching point. Fluid should be consumed throughout the day so that the daily recommendation can be achieved.

  4. “Drink at least 3,000 mL of fluids daily and perhaps take a refillable water bottle to work.”
    • Rationale:

      This statement provides the client with a daily fluid goal and provides the client with a method to increase water intake; therefore, this is the best statement to address the client’s fluid needs.

Overview

According to the World Health Organization (WHO), health promotion is defined as a process of enabling individuals to increase control over, and to improve their health. Adequate fluid intake is an action that everyone can implement to enhance their health.

Explanation

Learning Outcomes

Adequate fluid intake is an action that everyone can implement to enhance their health. It is important to quantify the amount of fluid required each day for someone who has cystitis (i.e., inflammation of the bladder) and/or has had several occurrences of the condition. Evidence-based practice guidelines recommend 3 liters of fluid daily for the client who has a history of cystitis. In order to achieve this goal, the nurse should provide the client with recommendations such as taking a refillable water bottle to work allowing refills throughout the day. Additional teaching may also include understanding the size of glasses, to-go drinks, and making sure fluids can be taken during work break times.

Test Taking Tip

Teaching should include specific actions that are achievable for the client in order for adherence to occur; therefore, consider this when choosing the correct choice for this question.

Video Rationale