A Client Has Come to the Physician's Office with Symptoms

A client has come to the physician's office with symptoms of a urinary tract infection (UTI) .She states that she had no symptoms when she went to bed last night but awakened this morning with severe burning with urination.A urine culture is completed and grows Escherichia coli.The client asks the nurse why these symptoms occurred so suddenly.The nurse's best response is:

A) "You probably had the symptoms for some time, but you didn't notice it until it became severe."
B) "The severity of your symptoms indicates a hygiene problem."
C) "The bacteria that caused your infection grow very rapidly, so it is possible you had no symptoms the night before."
D) "Do you often have complaints of severe pain when you awaken?"