Renal Question #46

Question

The nurse is instructing a 38 year-old male client with a history of diabetes and with a new diagnosis of urinary tract infection. 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. “Yes, one in five females will develop a UTI, but risk factors for men such as diabetes, immune system issues, and enlarged prostate gland contribute to UTI in males.”
2. “Take antibiotics as prescribed and do not stop taking until all are gone.”
3. “Drink extra fluids to help wash out the bacteria causing the infection.”
4. “Renal failure increases with hypertension and as age advances.”

Explanation

The client is correct that more females than males in his age group will get UTI; however, the client has a history of diabetes which may contribute to a UTI. As he ages, his chances of getting urinary infections increases and with diabetes he may have increased risk of other kidney complications. Answers B and C are good instructions but do not answer the question posed by the client. The nurse must address client concerns and questions.