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.
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Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. "It is not normal to see food particles in the stool." Seeing undigested food in the stool is not a common sign of colorectal cancer. It is more commonly associated with conditions like malabsorption syndromes.
B. "Some people with colorectal cancer have unexplained abdominal or back pain." Persistent abdominal pain or discomfort can be a sign of colorectal cancer, especially if unexplained.
C. "Blood in the stool is one warning sign I need to look for." Blood in the stool (hematochezia or melena) is a significant warning sign of colorectal cancer.
D. "I need to let my doctor know if my bowel habits start to change." Changes in bowel habits, such as persistent diarrhea or constipation, can be an early sign of colorectal cancer.
E. "Muscle aches are common in people with colorectal cancer." Muscle aches are not a primary symptom of colorectal cancer.
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.
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