Urinary Incontinence and Retention · NCLEX Exam

A patient complains of a strong urge to void but cannot reach the toilet in time and leaks urine. Which mechanism best explains this?

  1. Weak pelvic floor muscles
  2. Bladder outlet obstruction
  3. Detrusor overactivity (spasm)
  4. Impaired mobility only
Show answer and explanation

Correct answer: Detrusor overactivity (spasm)

Urge incontinence is caused by detrusor muscle overactivity, leading to a sudden urge and leakage before reaching the toilet.

Difficulty: Easy Question 5 of 20

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