Final answer:
The patient's fluid intake is within the normal IOM recommended range and should continue as part of the treatment for pyelonephritis. The nurse should encourage the patient to maintain this level of hydration and monitor their condition regularly.
Step-by-step explanation:
The patient with pyelonephritis has been consuming between 3 L and 3.5 L of oral fluid each day since admission. This fluid intake is within the normal range of fluid intake for an adult, which is approximately 2.5 to 3 liters per day according to the Food and Nutrition Board of the Institute of Medicine (IOM). The Adequate Intake (AI) for water set by the IOM for adult males is 3.7 liters and for adult females is 2.7 liters, including water from all dietary sources. It's also important to consider that maintaining proper hydration is crucial for the kidneys to function correctly and to handle the extra stress of an infection such as pyelonephritis, where increased fluid intake can help flush out bacteria from the urinary tract.
Given this information, the best response to this finding would be
- D) Encourage the patient to continue this pattern of fluid intake.
There is no need to limit the patient's fluid intake to 2 L daily or to make specific dietary adjustments like a high-calorie or high-sodium diet based on the information provided. Maintaining a good hydration level can contribute to the recovery process in cases of pyelonephritis. It is important for the nurse to monitor the patient's overall condition and consult with healthcare providers if any concerns arise regarding the patient’s fluid intake or nutritional needs.