Medical Surgical UTI & Pyelonephritis #12

Question

The nurse instructs an adult male client with a history of diabetes mellitus (DM) newly diagnosed with a urinary tract infection (UTI). The client states, “I am surprised I have one since usually it’s a female condition.” Which instruction by the nurse is the most important in answering the client’s question?

Answers

  1. “While women are more at risk, men with diabetes have an increased risk for UTI.”
    • Rationale:

      This answer is correct because the client states a belief that UTIs occur more frequently in female clients versus male clients. While this is typically true, the client’s comorbidity increases his risk for UTIs, therefore this response is most important to address the client’s misconception.

  2. “Take antibiotics as prescribed and do not stop taking until all are gone.”
    • Rationale:

      This answer is not correct because while this is an accurate statement regarding the use of antibiotics to treat UTIs, it does not address the question posed by the client. The client is correct that more females than males in his age group will get a UTI; however, the client has a history of DM which may contribute to a UTI.

  3. “Drink extra fluids to help wash out the bacteria causing the UTI.”
    • Rationale:

      This answer is not correct because while this is an accurate statement regarding the benefit of increasing oral fluid intake, it does not address the question posed by the client. The client is correct that more females than males in his age group will get a UTI; however, the client has a history of DM which may contribute to a UTI.

  4. “Renal failure increases with hypertension and as age advances.”
    • Rationale:

      This answer is not correct because while this client may be at an increased risk for kidney issues due to the comorbidity of DM, this statement does not address the question posed by the client regarding male risks for developing UTIs. The client is correct that more females than males in his age group will get a UTI; however, the client has a history of DM which may contribute to a UTI.

Overview

DM is a risk factor for the development of UTIs for male clients. The client is correct that more females than males in his age group will get a UTI; however, the client has a history of DM which may contribute to a UTI.

Explanation

Learning Outcomes

The client is correct that more females than males in his age group will get a UTI; however, the client has a history of DM which may contribute to a UTI. As the client ages, the chances of getting UTIs increases. In addition, a diagnosis of DM carries an increased risk of other kidney complications. Therefore, the most important instruction by the nurse is, “While women are more at risk, men with diabetes have an increased risk for UTI.”

Test Taking Tip

Consider the client’s question and each response by the nurse to correctly answer this question.

Video Rationale