An 86-year-old patient asks the nurse what lifestyle changes will reduce the chance of a urinary tract infection. Which response is accurate?
a. Urinary tract infections are unavoidable in the elderly because of a weakened immune system.
b. Decreasing fluid intake will decrease the amount of urine with bacteria produced.
c. Making sure to cleanse the perineal area from back to front after voiding will reduce the chance of infection.
d. Increasing consumption of acidic foods such as cranberry juice will reduce the chance of infection.
ANS: D
Cranberry juice and other acidic foods decrease adherence of bacteria to the bladder wall. Urinary tract infections are avoidable in the elderly population with proper knowledge and hygiene. Perineal skin should be cleansed from front to back to avoid spreading fecal matter to the urethra. Increasing fluids will help to flush bacteria, thus preventing them from residing in the bladder for prolonged periods of time.
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