A patient diagnosed with sepsis from a UTI is being discharged. What do you plan to include in her discharge teaching?
A. Take cool baths.
B. Avoid tampon use.
C. Avoid sexual activity.
D. Drink 8 to 10 eight-oz glasses of water daily.
Correct Answer: D. Drink 8 to 10 eight-oz glasses of water daily
Drinking 2-3L of water daily inhibits bacterial growth in the bladder and helps flush the bacteria from the bladder. Encourage increased oral fluid intake (2 to 3 liters a day if no contraindication). Fluid intake facilitates urine production and flushes bacteria from the urinary tract.
Option A: Instruct the female client to wipe the area from front to back and the avoidance of bath tubs. Proper perineal care helps in minimizing the risk of contamination and re-infection.
Option B: Tampons are advised during the menstruation rather than sanitary napkins because they keep the bladder opening area drier, hence limiting the growth of bacteria. Avoid wearing tight-fitting or constricting undergarments made of non-breathing materials.
Option C: The patient should be instructed to void after sexual activity. Completely emptying the bladder prevents bladder distention and compromised blood supply to the bladder wall. These predispose the client to UTI.
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