The nurse working in a long-term setting is caring for an 83-year-old patient diagnosed with a urinary tract infection (UTI). Which of the following signs and symptoms is the nurse most likely to find in this patient?
A) Frequency and burning with voiding
B) Fatigue and observable cognitive changes
C) Back pain and observable hematuria
D) Suprapubic pain and palpable kidney
Ans: B
Feedback: The most common subjective presenting symptom of a UTI in older adults is generalized fatigue. The most common objective finding is a change in cognitive functioning, especially in those with dementia, because these patients usually exhibit even more profound cognitive changes with the onset of a UTI. The common signs and symptoms of an uncomplicated UTI include pain and burning on urination, frequency, urgency, nocturia, incontinence, suprapubic or pelvic pain, hematuria and back pain, but these symptoms are seldom noted in older people.
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