A 72-year-old man has benign prostatic hypertrophy,which has contributed to repeated bouts of cystitis.He is now admitted to the hospital with chills,fever,and nausea and vomiting.A urinalysis is positive for bacteria,red blood cells,and white blood cells.The nurse suspects the presence of an upper UTI when assessment of the patient reveals which of the following findings?

Question

Quizplus · Accepted Answer

Costovertebral angle (CVA) tenderness is a classic sign of an upper UTI, specifically pyelonephritis, which is an infection of the kidneys. Suprapubic pain and foul-smelling urine are more commonly associated with lower UTIs, such as cystitis. A distended bladder may be present with either a lower or upper UTI.

A 72-Year-Old Man Has Benign Prostatic Hypertrophy,which Has Contributed to Repeated