Which of the following clients is likely at the greatest risk of developing a urinary tract infection?
A) A pregnant woman who has been experiencing urinary frequency
B) A client with a diagnosis of chronic kidney disease who requires regular hemodialysis
C) A 79-year-old client with an indwelling catheter for urinary incontinence
D) A confused, 81-year-old client who is incontinent of urine
Ans: C
Feedback:
There is an increased risk for UTIs in persons with urinary obstruction and reflux, in people with neurogenic disorders that impair bladder emptying, in women who are sexually active, in postmenopausal women, in men with diseases of the prostate, and in elderly persons. Instrumentations and urinary catheterization are the most common predisposing factors for nosocomial, or hospital-acquired UTIs. Frequency and incontinence may be signs and symptoms of UTIs, but they are not causative of the infections.
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