Final answer:
Patients with functional incontinence are not typically at risk for bladder distention, as their issues revolve around accessibility to the bathroom or other factors, rather than the ability of the bladder to store urine or become distended.
Step-by-step explanation:
The question centers on identifying which of the given options is not at risk for bladder distention. Bladder distention can occur due to various reasons, including obstructions and neurological conditions that may affect the bladder's ability to empty fully.
Patients at risk for bladder distention typically include:
- Women who are immediately postpartum. The uterus compresses the bladder during pregnancy leading to frequent urination, and post childbirth, the bladder needs to readjust, which might cause distention.
- Children with neuromuscular disorders. Such conditions can interfere with the nerves controlling the bladder function leading to distention.
- Patients immediately post-op for bladder surgery. Postoperative swelling or complications might lead to urinary retention and thus bladder distention.
Considering the detailed information, patients who have functional incontinence would not be at high risk for bladder distention. Functional incontinence is defined by factors like immobility or cognitive impairment where the problem isn't in the storage of urine or fullness of the bladder but in accessing the bathroom or other factors not related to bladder capacity or function. Hence, option b is the correct answer as it is not related to the risk of bladder distention.