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 ["A","B"]

Explanation

Choice A rationale

A boggy fundus refers to an enlarged, soft, and tender uterus identified during physical examination. It is most commonly caused by uterine atony or adenomyosis. A boggy fundus 1 cm above the umbilicus requires immediate follow-up as it indicates that the uterus is not contracting properly after childbirth, which can lead to postpartum hemorrhage.

Choice B rationale

A fundus rotated to the right could indicate a distended bladder. This requires immediate follow-up as it can lead to urinary retention and other complications.

Choice C rationale

Voiding 200 mL of clear yellow urine is a normal finding and does not require immediate follow-up.

Choice D rationale

A blood pressure of 90/62 mm Hg is considered normal according to the American Heart Association. Therefore, it does not require immediate follow-up.

A. Uterine atony B. Wound dehiscence C. Infection D. Hemorrhage

Correct Answer is A

Explanation

Choice A rationale

Uterine atony refers to a condition where the uterus fails to contract sufficiently during and after childbirth. This lack of contraction can lead to excessive bleeding, also known as postpartum hemorrhage. This is because the contractions of the uterus after delivery help to compress the blood vessels and prevent bleeding. Therefore, uterine atony can cause a patient to hemorrhage.

Choice B rationale

Wound dehiscence refers to a surgical complication where an incision reopens either internally or externally. It can cause pain, infection, and organ protrusion. However, it is not directly associated with hemorrhaging.

Choice C rationale

Infection refers to the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. While severe infections can lead to sepsis and disseminated intravascular coagulation, which can cause bleeding, they do not directly cause hemorrhaging.

Choice D rationale

Hemorrhage is a symptom, not a condition. It refers to excessive bleeding which can occur due to various conditions, including uterine atony.

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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 nurse is reviewing the nurse’s notes and flow chart to identify trends.Which notations require immediate follow-up?

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

Explanation

The nurse has reviewed the patient’s chart.The nurse recognizes that this patient is hemorrhaging due to which condition?

Correct Answer is A

Explanation

Exhibits Click to indicate which interventions the nurse should perform to care for this client. Each row must have one response indicated.

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