A patient has elevated blood urea nitrogen (BUN) and serum ...

[lbcchick]

A patient has elevated blood urea nitrogen (BUN) and serum creatinine levels. Which bowel preparation order would the nurse question for this patient who is scheduled for a renal arteriogram?
 
  a. Fleet enema
  b. Tap-water enema
  c. Senna/docusate (Senokot-S)
  d. Bisacodyl (Dulcolax) tablets

Question 2

The nurse caring for a patient after cystoscopy plans that the patient
 
  a. learns to request narcotics for pain.
  b. understands to expect blood-tinged urine.
  c. restricts activity to bed rest for a 4 to 6 hours.
  d. remains NPO for 8 hours to prevent vomiting.

[Andromeda18]

Answer to Question 1

ANS: A
High-phosphate enemas, such as Fleet enemas, should be avoided in patients with elevated BUN and creatinine because phosphate cannot be excreted by patients with renal failure. The other medications for bowel evacuation are more appropriate.

Answer to Question 2

ANS: B
Pink-tinged urine and urinary frequency are expected after cystoscopy. Burning on urination is common, but pain that requires opioids for relief is not expected. A good fluid intake is encouraged after this procedure. Bed rest is not required following cystoscopy.