The nurse is caring for several older clients. Which client would the nurse be especially alert for signs and symptoms of pyelonephritis?
A) A client with acute renal failure
B) A client with a urinary tumor
C) A female client with preexisting chronic glomerulonephritis
D) A client with urinary obstruction
D
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The client with urinary obstruction is at the highest risk of developing pyelonephritis because a urinary obstruction is the most common cause of pyelonephritis in older adults. Acute glomerulonephritis usually occurs in older adults with preexisting chronic glomerulonephritis. Older clients with acute renal failure or urinary tumor are not at high risk for developing pyelonephritis.
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