The nursing home administrator for a skilled nursing facility is concerned because a large number of older residents are developing UTIs. What should the staff nurse explain about the development of UTIs in this population? (Select all that apply.)
a. Overuse of antibiotics
b. Diminished immune function
c. Enlarged prostate in older men
d. Presence of neurogenic bladder
e. Decline in estrogen in older women
ANS: B, C, D, E
Older adults have an increased incidence of UTIs due to diminished immune function and neurogenic bladder which fails to completely empty. Older men are predisposed to infection because an enlarged prostate obstructs urine flow. In older women, the decline in estrogen can also contribute to the risk of UTI. A. Overuse of antibiotics is not identified as a reason for UTI development in older patients.
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