In the elderly what is a common sign of urinary tract infection (UTI)?
pyuria
hematuria
confusion
dysuria
The Correct Answer is C
A. Pyuria: Pyuria (pus in the urine) is a sign of UTI but is not the most common symptom in the elderly.
B. Hematuria: Blood in the urine may occur but is not as common in the elderly as confusion.
C. Confusion: In elderly patients, confusion or altered mental status is often the first and most prominent sign of a UTI due to their atypical presentation of infections.
D. Dysuria: Painful urination is a classic symptom of UTI but may not be as apparent in elderly patients as confusion.
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Related Questions
Correct Answer is B
Explanation
A. Multiple life changes and hormone deficiencies: These factors may contribute to psychological stress but do not directly increase the risk of physical injury.
B. Bone demineralization and peripheral neuropathy: Chronic renal failure often leads to bone demineralization (secondary to disrupted calcium-phosphorus metabolism) and peripheral neuropathy (due to uremic toxins), both of which increase injury risk.
C. Impaired immune response and malnutrition: These are common in chronic renal failure but are more related to infection risk than injury.
D. Fatigue and drug side effects: While fatigue and medication effects can contribute to falls, the primary causes are bone and nerve damage.
Correct Answer is D
Explanation
A. Irritability and hyperactivity: Glomerulonephritis does not directly cause these symptoms; neurological changes are more associated with uremia in advanced kidney disease.
B. Low blood volume with polyuria: Glomerulonephritis often leads to fluid retention rather than polyuria, resulting in increased blood pressure.
C. Low levels of BUN and creatinine: BUN and creatinine levels are typically elevated due to impaired filtration.
D. Moderate to high blood pressure: The inflammatory process in glomerulonephritis often leads to fluid retention and hypertension.
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