Which of these normal changes occurring in the urinary system with aging may contribute to an older adult female client developing cystitis?
a. decreased bladder capacity
b. weakening of bladder and perineal muscles resulting in the inability to empty the bladder
c. development of stress incontinence
d. decreased renal function
B
Cystitis, inflammation of the urinary bladder, is more common in females because of their short urethra, which allows bacteria to ascend from the vagina or rectum. Bacteria may descend from an infected kidney. Bacteria in the bladder multiply, causing redness and swelling of the wall of the bladder, which in turn causes increased urinary frequency, dysuria, pyuria, hematuria, and sometimes burning and urgency. The normal changes occurring in the urinary system with aging, such as weakening of bladder and perineal muscles that results in the inability to empty the bladder, may increase risk of developing cystitis in older females.
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