A client has an autonomous neurogenic bladder. The nurse plans care for this client understanding that the client
A) cannot perceive bladder fullness or initiate or maintain urination.
B) feels no bladder-filling sensation but empties the bladder reflexively.
C) feels the sensation of the bladder filling but cannot initiate micturition.
D) has a temporary problem with initiating micturition.

Question

Quizplus · Accepted Answer

The client with an autonomous neurogenic bladder can neither perceive bladder fullness nor initiate or maintain urination without some type of "assistance" (e.g., applying external pressure on the abdomen). Clients with motor paralytic bladders can feel the bladder filling, even to the point of pain, but cannot initiate micturition. This condition can be temporary if a bacterial or viral infection is the cause. Reflex neurogenic bladder causes the client to be unable to feel bladder filling, and bladder emptying is done reflexively, although it may be incomplete.

A Client Has an Autonomous Neurogenic Bladder