A nurse is teaching a client who is scheduled for a cystoscopy. Which of the following information should the nurse include in the teaching?

"You may have pink-tinged urine after this procedure."

"You should limit fluids for 12 hr following the procedure."

"You will be placed on your right side during the procedure."

"You can eat a full liquid meal up to 1 hour before the procedure."

Answer and Explanation

The Correct Answer is A

A. "You may have pink-tinged urine after this procedure." Minor bleeding and pink-tinged urine are expected due to irritation of the urethra and bladder mucosa during the procedure.

B. "You should limit fluids for 12 hr following the procedure." Fluids should be encouraged to help flush the bladder and prevent infection or clot formation.

C. "You will be placed on your right side during the procedure." Cystoscopy is performed with the client in the lithotomy position (on the back with legs supported in stirrups).

D. "You can eat a full liquid meal up to 1 hour before the procedure."Cystoscopy may require sedation, and clients are typically instructed to be NPO (nothing by mouth) for several hours before the procedure.

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Correct Answer is D

Explanation

A. RBC 4.9 mm³: Chronic glomerulonephritis often leads to anemia due to decreased erythropoietin production, so a normal RBC count is unexpected.

B. Serum potassium 4.0 mEq/L : Kidney disease often leads to hyperkalemia (K⁺ >5.0 mEq/L) due to impaired potassium excretion.

C. Serum creatinine 0.8 mg/Dl: Chronic kidney disease results in increased creatinine levels (>1.3 mg/dL) due to reduced glomerular filtration.

D. BUN 100 mg/dL: BUN (Blood Urea Nitrogen) is elevated in kidney dysfunction. Normal BUN is 6–20 mg/dL, and a BUN of 100 mg/dL suggests severe renal impairment.

A. Report a positive finding to the provider. B. Don sterile disposable gloves. C. Test the quality control section before testing the stool specimen. D. Apply liberal amounts of stool to the guaiac paper.

Correct Answer is A

Explanation

A. Report a positive finding to the provider. A positive guaiac test indicates the presence of blood in the stool, which may suggest gastrointestinal bleeding, colorectal cancer, or other GI disorders. It must be reported for further evaluation.

B. Don sterile disposable gloves. Sterile gloves are not required. Clean gloves are sufficient because this is a non-sterile procedure.

C. Test the quality control section before testing the stool specimen. There is no quality control section on a fecal occult blood test. The test involves applying stool to a guaiac card and adding developer.

D. Apply liberal amounts of stool to the guaiac paper. Only a thin smear of stool is required; too much stool may interfere with accurate test results.

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A nurse is teaching a client who is scheduled for a cystoscopy. Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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