The patient at 3 days postpartum has come to the maternity clinic with complaints of urinary urgency and dysuria. Which statement is most important for the nurse to make?
1. "Void into this sterile cup without touching the inside of the cup."
2. "Be sure to wipe from back to front after you have a bowel movement."
3. "Call the clinic if you develop nausea and vomiting or constipation."
4. "Decrease your fluid intake for a few days, but eat a lot of vegetables."
Correct Answer: 1
Rationale 1: A clean-catch urine sample will need to be obtained for urinalysis to determine if the patient has developed a urinary tract infection.
Rationale 2: Patients should be taught to wipe from front to back after bowel movements in order to prevent contamination of the urethra and bladder with normal bowel flora.
Rationale 3: A lower urinary tract infection can progress into pyelonephritis, the signs of which are fever and flank pain. Constipation is not associated with urinary tract infections.
Rationale 4: Patients should increase their fluid intake but decrease their consumption of carbonated beverages. Cranberries, or cranberry juice, are helpful, as they acidify the urine. Vegetables do not help clear or prevent urinary tract infections.
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