The nurse is seeing a 20-year-old client with a urinary tract infection (UTI) at the women's health clinic. The client says to the nurse, "It seems to me more women get urinary infections than men. Why is this?" What is the best response by the nurse?
a. "Because women are usually more sexually active than men, they are at higher risk for infections."
b. "Men have a prostate gland that protects them against urinary tract infections."
c. "The female urethra is longer than a male making women more prone to infections."
d. "Hormone changes during pregnancy and pressure of the uterus on the bladder can make women more prone to UTIs."
D
Some pregnant women are more prone to UTI because of hormonal changes and because of pressure of the uterus on the bladder. In women, the urethra is about 3 to 4 cm (1.5 in.) long and is anchored to the anterior wall of the vagina. Because the female urethra is so short, women are especially prone to urinary tract infections from microorganisms ascending from the vagina and rectum. In men, the urethra extends about 20 cm (8 in.). There is no evidence to support that women are more sexually active than men, thus rendering them more prone to urinary tract infections. The prostate gland in males is not related to occurrence of infection unless the prostate is enlarged.
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