Urinary Tract Infections · NCLEX Exam

A 70-year-old man in a nursing home becomes acutely confused with foul-smelling urine and no typical urinary symptoms. The nurse recognises that older adults with UTIs may present atypically often with:

  1. Severe unilateral flank pain as the only feature
  2. Typical dysuria and burning in every case
  3. New-onset confusion or a nonspecific mental status change
  4. A marked rise in urine volume in every case
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Correct answer: New-onset confusion or a nonspecific mental status change

In older adults UTIs may present without typical symptoms; confusion or altered mental status can be the predominant feature.

Difficulty: Medium Question 19 of 20

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