A 51-year-old woman diagnosed with a cerebrovascular accident (CVA) 5 months prior is distressed that she has had several recent episodes of urinary incontinence. She has asked her nurse practitioner why this is the case
Which of the following statements best captures the fact that would underlie the nurse's response to the client?
A)
Neurological diseases like MS often result in flaccid bladder dysfunction.
B)
She may be unable to sense her bladder filling as a result of her MS.
C)
Lesions to the basal ganglia or extrapyramidal tract associated with MS inhibit detrusor contraction.
D)
Pathological reductions in bladder volume brought on my MS necessitate frequent micturition.
Ans:
B
Feedback:
MS may result in neurogenic bladder characterized by an inability to sense filling and consequent incontinence. She is not demonstrating the signs of a flaccid bladder, and lesions to the basal ganglia or extrapyramidal tract are associated with Parkinson disease, not MS. Her disease is unlikely to directly reduce bladder volume.
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