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 B

Explanation

A. Stop the enema and document that the client did not tolerate the procedure: Not necessary. Slowing the flow often relieves cramps. Stopping the procedure entirely may lead to incomplete evacuation.

B. Lower the height of the solution container: Slows the flow rate, reducing cramping. High flow rates cause rapid intestinal distention, leading to discomfort.

C. Encourage the client to bear down: Bearing down increases intra-abdominal pressure, worsening cramps.

D. Allow the client to expel some fluid before continuing: Could disrupt the enema’s effectiveness.

A. "Excessive laxative use may cause an electrolyte imbalance." B. "Chronic use of laxatives can lead to a tear in the rectal mucosa." C. "Decrease your intake of foods high in fiber." D. "Irregular bowel movements are an indication of poor intestinal health."

Correct Answer is A

Explanation

A. "Excessive laxative use may cause an electrolyte imbalance." Chronic laxative use can lead to hypokalemia, dehydration, and other imbalances.

B. "Chronic use of laxatives can lead to a tear in the rectal mucosa." While irritation is possible, tearing (anal fissures) is more associated with straining or hard stools, not laxative overuse.

C. "Decrease your intake of foods high in fiber." Fiber helps regulate bowel movements and reduces laxative dependence.

D. "Irregular bowel movements are an indication of poor intestinal health." Bowel patterns vary by individual, and irregularity does not always indicate poor health.

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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?

Nursing Test Bank

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