The nurse advises the patient with chronic pyelonephritis that he should:
a) Increase fluids to 3 to 4 L/24 hours to dilute the urine.
b) Limit his fluid intake to 1.5 L/day to minimize bladder fullness, which could cause backward pressure on the kidneys.
c) Decrease his sodium intake to prevent fluid retention.
d) Decrease his intake of calcium rich foods to prevent kidney stones.
Answer: a) Increase fluids to 3 to 4 L/24 hours to dilute the urine.
Unless contraindicated, fluids should be increased to dilute the urine, decrease burning on urination, and prevent dehydration. A balanced diet would be recommended but there is no need to restrict sodium or calcium.
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The nurse suspects that there is physical abuse present after visiting the client in the home. In recognition of the pattern of family violence, the nurse knows that:
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The patient should not be awakened early in the morning if
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A school nurse is preparing educational activities for all high school students on reproductive health. The principal cautions that the program can only contain information about sexual abstinence. Which action by the nurse would be most appropriate?
A. Argue that abstinence-only programs do not work and are not valuable. B. Discuss the need to have information appropriate to the teens' experience. C. Plan the program but encourage questions not related to the prepared material. D. Prepare an abstinence-only program because teens should not have sex.