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

The patient is resting and cooperative, which indicates a calm and alert state, not agitation. Orientation x means the patient is aware of person, place, time, and situation, which is a normal finding. Dizziness is not mentioned in the patient’s condition. Pupils being equal and reactive to light is a normal finding and does not indicate a neurological issue.

Choice B rationale

Bradycardia refers to a slower than normal heart rate, which is not mentioned in the patient’s condition. Weak bilateral radial pulses could indicate poor blood circulation, but this is not mentioned in the patient’s condition. Capillary refill of 2 seconds is a normal finding. The absence of lower leg edema is a normal finding and does not indicate a cardiovascular issue.

Choice C rationale

Clear breath sounds are a normal finding and indicate that the patient’s lungs are free of obstructions or fluid.

Choice D rationale

The last reported bowel movement being 4 days ago could indicate constipation, but this is not mentioned in the patient’s condition.

A. Boggy fundus 1 cm above the umbilicus B. Fundus rotated to the right C. Blood pressure: 90/62 mm Hg D. Voided 200 mL of clear yellow urine E. Heart rate: 96 beats/minute F. IV infusing at 125 mL/hr G. A 1,000 mL bag of lactated Ringer’s solution containing 10 units of oxytocin is infusing H. Episiotomy: Intact with no redness

Correct Answer is ["A","B","C"]

Explanation

Based on the provided information, the following notations require immediate follow-up:

Boggy fundus 1 cm above the umbilicus: A boggy (soft) fundus can indicate uterine atony, a condition in which the uterus fails to contract after delivery. This can lead to postpartum hemorrhage, a serious and potentially life-threatening condition.
Fundus rotated to the right: A displaced fundus can be a sign of a distended bladder, which can interfere with uterine contraction and lead to postpartum hemorrhage.
Blood pressure: 90/62 mm Hg: While this blood pressure isn’t extremely low, it is on the lower end of normal. Given the potential for postpartum hemorrhage indicated by the other findings, this should be monitored closely.

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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

The patient is resting in bed and cooperative with her mother at her bedside. Which of the following assessments were made?

Correct Answer is ["C"]

Explanation

Correct Answer is ["A","B","C"]

Explanation

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