A nurse is providing education to a client who has recently undergone pelvic floor surgery. The client asks about the voluntary control of urination. Which anatomical structure allows for conscious control over the initiation of urine flow?
Ileocecal sphincter
Internal urethral sphincter
Internal anal sphincter
External urethral sphincter
The Correct Answer is D
A. Ileocecal sphincter: the ileocecal valve/sphincter regulates flow from ileum to cecum in the GI tract, unrelated to urinary control.
B. Internal urethral sphincter: Incorrect (mostly involuntary) -the internal sphincter (smooth muscle) provides involuntary control of urine retention at the bladder neck via autonomic regulation.
C. Internal anal sphincter: the internal anal sphincter controls fecal continence (involuntary), not urinary flow.
D. External urethral sphincter: the external urethral sphincter is skeletal muscle under voluntary control and allows conscious initiation or delay of urination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Responsible for uterine contractions: The myometrium is the thick middle layer of uterine smooth muscle and is the contractile layer responsible for rhythmic uterine contractions (e.g., labor, Braxton–Hicks) .
B. Primary support for the uterus: Structural support of the uterus is provided mainly by pelvic ligaments and pelvic floor muscles; this is not the primary role of the myometrium.
C. Thickens in response to estrogen: The endometrium (the mucosal lining) thickens cyclically in response to estrogen; the myometrium undergoes hypertrophy in pregnancy but is not the layer described by cyclic thickening of the uterine lining.
D. Covers the exterior portion of the uterus: The outer covering of the uterus is the perimetrium (serosa), not the myometrium.
Correct Answer is C
Explanation
A. Pancreatic duct: The pancreatic duct (duct of Wirsung) conveys pancreatic enzymes from the pancreas to the duodenum and typically joins the bile duct at the hepatopancreatic ampulla.
B. Common bile duct: The common bile duct is formed by the union of the common hepatic duct and cystic duct and carries bile from the liver/gallbladder to the duodenum.
C. Common hepatic duct: The common hepatic duct drains bile from the right and left hepatic ducts of the liver and joins the cystic duct to form the common bile duct.
D. Cystic duct: The cystic duct connects the gallbladder to the common bile duct and allows bile to flow into and out of the gallbladder for storage and release.
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