In men experiencing nonrelaxing external sphincter with associated urine retention, the health care worker should assess for which of the following possible causes?
A) Increased intra-abdominal pressure
B) Chronic prostatitis
C) Chronic stress response
D) Pelvic inflammatory disease
Ans: B
Feedback:
In men, chronic prostatitis contributes to impaired (nonrelaxing) external sphincter with urine retention. The stress response can cause retention of urine as part of the "fight-or-flight" response, unrelated to sphincter dysfunction. Developmental delays are associated with female or male children (not men). If intra-abdominal pressure increases as it does during actions such as coughing, laughing, or sneezing and if this pressure is not equally transmitted to the urethra, then incontinence occurs. PID is primarily a female disorder.
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