Which of the following best describes the difference between stress incontinence and urge incontinence?
Stress incontinence is due to physical stress on the bladder, while urge incontinence is due to an overactive bladder
Stress incontinence is due to an overactive bladder, while urge incontinence is due to physical stress on the bladder
Stress incontinence is due to neurological damage, while urge incontinence is due to physical stress on the bladder
Stress incontinence is due to physical stress on the bladder, while urge incontinence is due to neurological damage
The Correct Answer is A
Choice A rationale
Stress incontinence is indeed due to physical stress on the bladder, while urge incontinence is due to an overactive bladder. Stress incontinence occurs when the urethral sphincter or pelvic floor muscles are weakened. This can happen due to various reasons such as childbirth, obesity, or prostate surgery. The term “stress” refers to the physical strain associated with leakage. On the other hand, urge incontinence is defined as a sudden involuntary contraction of the muscular wall of the bladder causing urinary urgency, an immediate unstoppable urge to urinate. This is often caused by an overactive bladder.
Choice B rationale
This statement is incorrect. Stress incontinence is not due to an overactive bladder, and urge incontinence is not due to physical stress on the bladder.
Choice C rationale
This statement is also incorrect. While neurological damage can potentially lead to various types of incontinence, it is not the primary cause of stress incontinence. Stress incontinence is primarily due to physical stress on the bladder.
Choice D rationale
This statement is incorrect. While neurological damage can potentially lead to urge incontinence, it is not the primary cause of stress incontinence. Stress incontinence is primarily due to physical stress on the bladder.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
The pituitary hormones releasing antidiuretic hormone in response to hypothyroid signaling, resulting in extensive diuresis, is not a known complication of myxedema. Myxedema is a severe form of hypothyroidism characterized by an underactive thyroid, not an overactive pituitary gland.
Choice B rationale
Myxedema coma, a rare but life-threatening complication of myxedema, can indeed be triggered by illness or trauma, leading to an exaggeration of hypothyroid symptoms. This can include severe hypotension, seizures, and/or coma. This condition is considered a medical emergency and requires immediate treatment.
Choice C rationale
Over secretion of thyroid-stimulating hormones (TSH) leading to increased excretion of T3 and T4 with dangerous cardiac symptoms is not associated with myxedema. Instead, this scenario is more likely to occur in hyperthyroidism, a condition characterized by an overactive thyroid, not an underactive one.
Choice D rationale
The heart not allowing proper flow of fluid throughout the body due to elevated levels of circulating thyroid hormone is not a characteristic of myxedema. In myxedema, the levels of thyroid hormones are low, not high.
Correct Answer is A
Explanation
Choice A rationale
In a client with Addison’s disease, the nurse should anticipate a serum electrolyte imbalance characterized by a serum potassium level of 6 mEq/L. Addison’s disease, also known as primary adrenal insufficiency, occurs when the adrenal glands do not produce enough cortisol and/or aldosterone. This can lead to hyperkalemia, or high levels of potassium in the blood.
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