An adult patient has been hospitalized with pyelonephritis. The nurse's review of the patient's intake and output records reveals that the patient has been consuming between 3 L and 3.5 L of oral fluid each day since admission
How should the nurse best respond to this finding?
A) Supplement the patient's fluid intake with a high-calorie diet.
B) Emphasize the need to limit intake to 2 L of fluid daily.
C) Obtain an order for a high-sodium diet to prevent dilutional hyponatremia.
D) Encourage the patient to continue this pattern of fluid intake.
Ans: D
Feedback:
Unless contraindicated, 3 to 4 L of fluids per day is encouraged to dilute the urine, decrease burning on urination, and prevent dehydration. No need to supplement this fluid intake with additional calories or sodium.
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