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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Hypertension as a result of the increased, concentrated blood volume: Hypertension in chronic kidney disease is due to fluid overload and renin-angiotensin-aldosterone system activation, not erythropoietin deficiency.

B. Elevated lipid levels in the bloodstream, contributing to accelerated atherosclerosis: Dyslipidemia in chronic kidney disease is unrelated to erythropoietin deficiency.

C. Anemia as a result of the diminished number of red blood cells being produced: Erythropoietin stimulates red blood cell production; its deficiency in chronic renal failure leads to anemia.

D. Diminished immunologic function with fewer white blood cells: White blood cell production is not directly affected by erythropoietin deficiency.

A. Facial twitching B. Periorbital edema C. Rash on cheeks and neck D. Broken blood vessels around the nose

Correct Answer is B

Explanation

A. Facial twitching: Facial twitching is unrelated to fluid retention and may indicate neuromuscular or electrolyte imbalances.

B. Periorbital edema: Periorbital (around the eyes) edema is a common sign of fluid retention, particularly in renal impairment.

C. Rash on cheeks and neck: A rash is not associated with fluid retention and may indicate other conditions such as allergies or lupus.

D. Broken blood vessels around the nose: This is unrelated to fluid retention and may result from trauma or alcohol use.

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The first time that a client voids after cystoscopy, the nurse observes pink-tinged urine. What is the appropriate nursing response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Erythropoietin is a hormone produced by the kidney. What will a deficiency of erythropoietin in a patient in chronic renal failure result in?

Correct Answer is C

Explanation

A nurse is assessing a patient with renal impairment. Which facial characteristic is a sign of fluid retention?

Correct Answer is B

Explanation

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