Stress incontinence occurs because of:
Medications
Hypertension
Full bladder
Exertional stimulus
The Correct Answer is D
Choice A reason: While certain medications can affect bladder control, they are not the primary cause of stress incontinence. Stress incontinence is specifically related to physical exertion and increased pressure on the bladder, leading to involuntary urine leakage.
Choice B reason: Hypertension, or high blood pressure, is not a direct cause of stress incontinence. Stress incontinence is related to the weakening of pelvic floor muscles and increased intra-abdominal pressure rather than blood pressure levels.
Choice C reason: A full bladder can increase the likelihood of urine leakage in individuals with stress incontinence, but it is not the underlying cause. Stress incontinence occurs due to weakened pelvic floor muscles and increased pressure during physical activities.
Choice D reason: Stress incontinence occurs due to exertional stimuli that increase intra-abdominal pressure, such as coughing, sneezing, laughing, or physical exercise. These activities cause a sudden increase in pressure on the bladder, leading to involuntary urine leakage. The condition is often associated with weakened pelvic floor muscles, which can result from factors such as childbirth, aging, or pelvic surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Peristalsis is the process by which smooth muscle fibers in the walls of the ureters contract rhythmically to propel urine from the kidneys to the bladder. This coordinated movement involves a wave-like series of contractions and relaxations, ensuring that urine is efficiently transported along the ureters, even against gravity. Peristalsis is a crucial mechanism for maintaining the flow of urine and preventing backflow into the kidneys.
Choice B reason: Mass movement refers to strong, coordinated contractions in the colon that move fecal matter toward the rectum. This process is associated with the large intestine and is not involved in the movement of urine through the ureters.
Choice C reason: Segmental contractions are localized contractions in the intestines that help mix and propel intestinal contents. They are not the primary mechanism for moving urine through the ureters.
Choice D reason: Tetany refers to involuntary muscle spasms or contractions, usually caused by low calcium levels or other electrolyte imbalances. It is not a normal physiological process for propelling urine through the ureters.
Correct Answer is D
Explanation
Choice A reason: Increased lipid breakdown does not directly cause the release of insulin. Insulin is a hormone that facilitates glucose uptake by cells and helps regulate blood sugar levels. Lipid metabolism is primarily regulated by other mechanisms and hormones, such as glucagon and epinephrine.
Choice B reason: Decreased blood glucose level would not stimulate insulin release. In fact, low blood glucose levels would signal the pancreas to reduce insulin secretion. Instead, glucagon would be released to increase blood glucose levels by stimulating the conversion of glycogen to glucose in the liver.
Choice C reason: Increased protein breakdown does not directly trigger the release of insulin. Protein metabolism involves amino acids and other metabolic pathways, but insulin release is primarily regulated by blood glucose levels.
Choice D reason: The release of insulin is caused by increased blood glucose levels. When blood glucose levels rise, such as after eating a meal, the beta cells in the pancreas secrete insulin to help cells absorb glucose from the bloodstream, thereby lowering blood glucose levels and maintaining homeostasis.
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