A 62-year-old male patient was diagnosed with type 2 diabetes 5 years ago but has not implemented measures to closely monitor or control his blood sugar levels.
As a result, he has begun to experience some of the sequelae of diabetes, including flaccid bladder. In cases of flaccid bladder, what pathophysiological process takes place?
A) An incompetent sphincter results in a constant dribbling of urine.
B) Because of a neurological lesion, the patient has no control over when the bladder empties.
C) The patient's bladder overfills, leading to overflow incontinence without the patient's knowledge.
D) Due to a lesion, the patient experiences inappropriate urges to void that are unrelated to the quantity of urine in the bladder.
Question 2
A 69-year-old man is postoperative day 2 following a transurethral prostatic resection (TUPR).
The patient had his urinary catheter removed at 06:00 this morning but has not voided in the 5 hours since the removal, despite the fact that he has been drinking large amounts of fluids. What nursing assessment will most accurately determine whether the patient is retaining urine?
A) Bladder palpation
B) Bladder ultrasound
C) Inspection of the patient's pubic region
D) An audit of the patient's recent intake and output
