What advice should a nurse give to a patient who is about to undergo a cystoscopy?

Inform the medical team of any allergies to shellfish or iodine.

Report any instances of painful urination, blood in urine, or fever.

Refrain from strenuous activities and sports for at least 2 weeks.

Remain in a prone position for 24 hours after the procedure.

Answer and Explanation

The Correct Answer is B

Choice A rationale

While it’s always important to inform the medical team of any allergies, there’s no specific link between shellfish or iodine allergies and cystoscopy.

Choice B rationale

After a cystoscopy, patients should report any instances of painful urination, blood in urine, or fever. These could be signs of complications such as infection.

Choice C rationale

There’s no specific need for patients to refrain from strenuous activities and sports for at least 2 weeks after a cystoscopy.

Choice D rationale

Remaining in a prone position for 24 hours after the procedure is not a standard recommendation following a cystoscopy.

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Correct Answer is C

Explanation

Choice A rationale

A thick, dry, and dark area on the heels could indicate a more advanced stage of a pressure injury, not the earliest indication.

Choice B rationale

Broken skin without evidence of undermining could also indicate a more advanced stage of a pressure injury.

Choice C rationale

A defined area of persistent redness over a bony prominence is often the earliest sign of a developing pressure injury. This is because these areas are more susceptible to pressure and have less padding to protect them.

Choice D rationale

A superficial sacral pressure injury with defined margins is a more advanced stage of a pressure injury.

A. Set up supplemental oxygen delivery. B. Increase the fraction of inspired oxygen. C. Gather supplies for extubation. D. Place a nasogastric tube.

Correct Answer is C

Explanation

Choice A rationale

Setting up supplemental oxygen delivery is not the immediate action the nurse should take. The patient’s FiO2 is currently at 35%, which is within the normal range.

Choice B rationale

Increasing the fraction of inspired oxygen is not necessary at this time. The patient’s current FiO2 is within the normal range.

Choice C rationale

The nurse should gather supplies for extubation. As the patient is due to start ventilator weaning, preparing for extubation is the next logical step. This involves having all necessary equipment and personnel ready for the procedure.

Choice D rationale

Placing a nasogastric tube is not the immediate action the nurse should take. While a nasogastric tube can be used to provide nutrition and medication, it is not directly related to the process of ventilator weaning.

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What advice should a nurse give to a patient who is about to undergo a cystoscopy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client admitted with pneumonia and on bedrest has not had the strength to perform self-care.Which assessment finding provides the nurse with the earliest indication that the client is developing a pressure injury?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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