A public health nurse is conducting research to reduce the occurrence of UTIs among the public. Which of the following patients would have the highest risk for developing a urinary tract infection?
a. A 68-year-old woman with stress incontinence
b. A 16-year-old girl who just became sexually active
c. A 56-year-old male with frequents complaints of lower abdominal pain
d. An 82-year-old woman living in a skilled care nursing facility
ANS: D
Those with the highest risk of developing a UTI are elderly women in nursing homes. Of these patients, 30% to 50% have bacteremia at any given time.
A 68-year-old woman with stress incontinence is at higher risk, because her bladder muscle may be weak, but this does not predispose her to UTIs.
Among sexually active young women, 25% to 35% develop at least one UTI a year.
UTIs occur less often in males than in females. Nothing indicates that this patient's lower abdominal pain is associated with a UTI.
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