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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Urinary tract infection: Cloudy, foul-smelling urine and dark amber color are classic signs of UTI due to the presence of bacteria, white blood cells, and inflammatory byproducts.
B. Urinary retention: Urinary retention involves difficulty emptying the bladder but does not typically cause cloudy or foul-smelling urine unless complicated by a UTI.
C. Urinary incontinence: Urinary incontinence refers to involuntary loss of urine but does not specifically cause changes in urine appearance.
D. Urinary frequency: Frequent urination may be a symptom of a UTI, but frequency alone does not cause urine to be dark, cloudy, or foul-smelling.
Correct Answer is C
Explanation
A. Hold the penis at a 30° to 45° angle when inserting the catheter. The penis should be held at a 90° angle to straighten the urethra and facilitate catheter insertion.
B. Perform catheterization when you recognize the urge to void. Clients with BPH may not sense the urge due to urinary retention. Catheterization should be performed at scheduled intervals to prevent bladder overdistention.
C. Use soap and water to wash the catheter after each use. Proper cleaning of the catheter with soap and water helps prevent infection and prolongs the catheter’s usability.
D. Inflate the balloon when the urine flow stops. Self-catheterization uses a straight catheter, which does not have a balloon for inflation (balloons are used in indwelling catheters).
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