A patient passing bloody urine has scheduled a cystoscopy with cystogram. Which description of the procedure by the nurse is accurate?
"Your doctor will place a catheter into an artery in your groin and inject a dye to visualize the blood supply to the kidneys”
"Your doctor will insert a lighted tube in the bladder through your urethra, inspect the bladder, and instill dye to outline your bladder on x-ray"
"Your doctor will inject a radioactive solution into a vein in your arm, then the isotope in your kidneys and bladder will be visible on a scanner “
"Your doctor will insert a lighted tube into the bladder, and little catheters will be inserted through the tube into your kidneys."
The Correct Answer is B
A. "Your doctor will place a catheter into an artery in your groin and inject a dye to visualize the blood supply to the kidneys": This describes a renal arteriogram, which evaluates renal blood vessels, not a cystoscopy with cystogram.
B. "Your doctor will insert a lighted tube in the bladder through your urethra, inspect the bladder, and instill dye to outline your bladder on x-ray": The cystoscope allows direct visualization of the bladder, and dye instillation helps outline the bladder on imaging to identify abnormalities such as tumors, stones, or sources of bleeding.
C. "Your doctor will inject a radioactive solution into a vein in your arm, then the isotope in your kidneys and bladder will be visible on a scanner": This describes a renal nuclear scan, which evaluates kidney function and structure. It does not involve direct visualization of the bladder or instillation of dye.
D. "Your doctor will insert a lighted tube into the bladder, and little catheters will be inserted through the tube into your kidneys.": This describes a cystoscopy with retrograde pyelogram, which visualizes the ureters and renal pelvis. While it involves the bladder and catheters, it is not the same as a cystoscopy with cystogram.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Bradycardia: Tamsulosin, an alpha-1 adrenergic blocker, does not typically cause bradycardia. Its primary cardiovascular effects involve vasodilation, which may lead to hypotension or dizziness rather than slowing of the heart rate.
B. Temporary loss of libido: Changes in libido are not commonly associated with tamsulosin. While sexual side effects are possible with some medications for urinary symptoms, tamsulosin mainly affects smooth muscle tone in the prostate and bladder neck.
C. Burning with urination: Burning or dysuria is not a typical adverse effect of tamsulosin. If present, it may indicate another issue, such as infection or irritation from the cystoscopy procedure, rather than a direct effect of the medication.
D. Dizziness: Dizziness is a common adverse effect of tamsulosin due to its action on blood vessels, which can cause orthostatic hypotension. Clients should be advised to rise slowly from sitting or lying positions to minimize the risk of falls.
Correct Answer is B
Explanation
A. Breast cancer survivor for 8 years: A history of cancer may be a concern, but most transplant programs require 2–5 years of remission before eligibility. Being cancer-free for 8 years would not be a contraindication.
B. Alcohol use disorder: Active substance abuse is a contraindication because it increases the risk of poor medication adherence, post-transplant complications, and graft failure. Patients must demonstrate sobriety before being considered.
C. 65-years of age: Older age alone is not a contraindication. Many transplant centers accept patients in their 60s and even 70s, as long as they are otherwise healthy and suitable candidates for surgery.
D. Pacemaker: The presence of a pacemaker is not a contraindication to transplantation. It is compatible with surgery and long-term management, provided cardiac function is stable.
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