Which of the following clients is at high risk for developing acute bacterial prostatitis?
A) A middle-aged male with prostate hyperplasia
B) A fifth grade male diagnosed with acute pyelonephritis
C) An elderly male diagnosed with frequent UTIs testing positive for gram-negative rods
D) A sickle cell anemia client complaining of prolonged erection lasting less than 4 hours
Ans: C
Feedback:
The most likely etiology of acute bacterial prostatitis is an ascending urethral infection or reflux of infected urine into the prostatic ducts. E. coli, other gram-negative rods, and enterococci, organisms known to cause urethritis are the most common infectious agents, rather than a descending bacterial infection from the kidneys (as in pyelonephritis). Benign prostatic hyperplasia (BPH) is an age-related, nonmalignant enlargement of the prostate gland caused by overgrowth of the prostate mucosal glands. Prolonged erection does not increase the probability of developing acute bacteria prostatitis.
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