The first time that a client voids after cystoscopy, the nurse observes pink-tinged urine. What is the appropriate nursing response?
Document normal findings
Contact the Rapid Response Team
Promptly notify the health care provider
Restrict fluids
The Correct Answer is A
A. Document normal findings: Pink-tinged urine is expected after a cystoscopy due to minor trauma to the urethra or bladder during the procedure.
B. Contact the Rapid Response Team: Pink-tinged urine does not indicate a medical emergency requiring the Rapid Response Team.
C. Promptly notify the healthcare provider: This finding does not require immediate notification unless accompanied by significant bleeding, clots, or other abnormal symptoms.
D. Restrict fluids: Increasing fluid intake helps flush the urinary tract and reduce irritation after a cystoscopy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. Decreasing ability to concentrate or dilute urine: Age-related changes in kidney function reduce the ability to regulate urine concentration.
B. Decreasing erythropoietin: Reduced erythropoietin production in older adults can lead to anemia.
C. Sclerosis of renal blood vessels: Age-related vascular changes reduce kidney perfusion and function.
D. Thinning of nephron membranes: This is not a typical age-related change; nephron membranes generally remain structurally intact.
E. Decreasing glomerular filtration: The decline in glomerular filtration rate (GFR) with age impacts drug clearance and overall kidney function.
Correct Answer is A
Explanation
A. Bleeding from the kidney: Dark red urine often indicates bleeding from the upper urinary tract, including the kidneys, due to trauma, infection, or stones.
B. Dehydration: Dehydration typically causes concentrated urine with a darker yellow color, not red.
C. Bleeding from the lower urinary tract: Bleeding from the lower urinary tract usually results in bright red urine, not dark red urine.
D. Excessive red meat in the patient's diet: While dietary factors can influence urine color (e.g., beets), red meat does not cause dark red urine.
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