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 B
Explanation
A. Potassium sparing: Loop diuretics are not potassium-sparing; they increase potassium excretion.
B. Potassium depleting. Loop diuretics, such as furosemide, promote the excretion of sodium, potassium, and water.
C. Less potent as a diuretic: Loop diuretics are among the most potent diuretics available.
D. Increases the reabsorption of water: Loop diuretics inhibit water reabsorption by blocking sodium and chloride reabsorption in the loop of Henle.
Correct Answer is D
Explanation
A. The antibiotic protocol is completed: While antibiotics may be used for secondary infections, they are not directly related to lifting activity restrictions.
B. Potassium levels are normal: Potassium levels are relevant to kidney function but do not dictate bed rest.
C. Dialysis starts: Dialysis is not typically required in acute glomerulonephritis unless there is severe kidney failure.
D. Blood pressure drops to normal levels: In acute glomerulonephritis, hypertension is a common complication, and activity is often restricted until blood pressure stabilizes.
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