Medical Surgical UTI & Pyelonephritis #1

Question

An active older adult client is at the clinic for urinary tract infection (UTI). The nurse is teaching about the importance of drinking fluids. The nurse creates a written cue plan with the client on when to consume liquids throughout the day because of which risk factor?

Answers

  1. Older adults have diminished aldosterone production.
    • Rationale:

      This answer is not correct because there is no evidence to support that older adult clients have diminished aldosterone production which would lead to a decline in the sensation of thirst. A urinary tract infection (UTI) is an infection in any part of the urinary system.

  2. Older clients have decreased ability to detect thirst.
    • Rationale:

      This answer is correct because older adult clients have decreased thirst, it is essential to teach the client who is diagnosed with a UTI ways to remember to drink at certain points throughout the day. A urinary tract infection (UTI) is an infection in any part of the urinary system.

  3. Older adults need less fluids because of heart failure concerns.
    • Rationale:

      This answer is not correct because a fear of developing heart failure is not a reason to restrict fluids as fluids are essential to decrease the risk for UTIs. A urinary tract infection (UTI) is an infection in any part of the urinary system.

  4. Older adults may require prophylaxis antibiotics and rotate them yearly.
    • Rationale:

      The answer is not correct because administering prophylaxis antibiotics may cause further risks of resistance along with adverse reactions. A urinary tract infection (UTI) is an infection in any part of the urinary system

Overview

A urinary tract infection (UTI) is an infection in any part of the urinary system; however, most infections involve the lower urinary tract which includes the bladder and the urethra.

Explanation

Learning Outcomes

Thirst sensation declines with age and fluid intake may decrease which places the client at risk for imbalances in unloading and loading of baroreceptors. When volume stimulus is diminished, sensation for thirst does not increase as with younger populations. Because older adult clients have a decreased ability to detect thirst, it is essential that the nurse create a written cue plan on when to consume liquids throughout the day.

Test Taking Tip

Consider the normal aging process and the effects it may have on the older adult client to answer this question correctly.

Video Rationale