Upon obtaining assessment data on a male admitted with benign prostatic hyperplasia, the nurse recognizes that the patient has a distended bladder and experiences involuntary loss of urine
Based upon these symptoms, the nurse determines that the patient is experiencing which type of incontinence?
A) Urge
B) Reflex
C) Overflow
D) Functional
Ans: C
Feedback: The patient is experiencing overflow incontinence, which is the involuntary loss of urine associated with overdistention of the bladder. Such overdistention results from the bladder's inability to empty normally, despite frequent urine loss. Factors that obstruct the outflow of urine, such as prostatic hyperplasia, can cause overflow incontinence. Urge incontinence is the involuntary loss of urine associated with a strong urge to void that cannot be suppressed and often occurs in a patient with neurologic dysfunction. Reflex incontinence is the involuntary loss of urine due to hyperreflexia in the absence of normal sensations associated with voiding and is common in patients with spinal cord injuries. Functional incontinence occurs when factors such as severe cognitive impairment or physical impairments make it difficult for the patient to reach the toilet in time for voiding.
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