A 68-year-old woman with a new onset of vascular dementia has recently begun retaining urine. Which of the following physiological phenomena would her care providers most realistically expect to currently occur as a result of her urinary retention?
A)
Hypertrophy of the bladder muscle and increased bladder wall thickness
B)
Decreased urine production and nitrogenous waste excretion by the kidneys
C)
Decompensation, bladder stretching, and high residual urine volume
D)
Overflow incontinence and loss of contraction power
Ans:
A
Feedback:
Early accompaniments to urinary retention include hypertrophy of the bladder muscle and increased thickness of the bladder wall. Renal effects are unlikely, and decompensation and loss of contraction power are most often later rather than early effects.
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