A nurse is caring for an older adult client who has a urinary tract infection (UTI). Which of the following manifestations should the nurse identify as a finding specifically associated with this client?

A. Confusion is a common and often early sign of a UTI in older adults due to age-related changes in immune response and central nervous system sensitivity. B. Urinary retention can occur with other urologic issues but is not specific to UTIs in older adults. C. Incontinence may be present but is often a chronic condition and not as specific a sign of a UTI. D. Low back pain is more typical in cases of pyelonephritis rather than uncomplicated UTIs.