A patient passing bloody urine is scheduled for a cystoscopy with ...

[londonang]

A patient passing bloody urine is scheduled for a cystoscopy with cystogram. Which description of the procedure by the nurse is accurate?
 
  a. Your doctor will place a catheter into an artery in your groin and inject a dye that will visualize the blood supply to the kidneys.
  b. Your doctor will insert a lighted tube into the bladder, and little catheters will be inserted through the tube into your kidney.
  c. Your doctor will insert a lighted tube into the bladder through your urethra, inspect the bladder, and instill a dye that will outline your bladder on x-ray.
  d. Your doctor will inject a radioactive solution into a vein in your arm and the distribution of the isotope in your kidneys and bladder will be checked.

Question 2

A patient gives the nurse health information before a scheduled intravenous pyelogram (IVP). Which item has the most immediate implications for the patient's care?
 
  a. The patient has not had food or drink for 8 hours.
  b. The patient lists allergies to shellfish and penicillin.
  c. The patient complains of costovertebral angle (CVA) tenderness.
  d. The patient used a bisacodyl (Dulcolax) tablet the previous night.

[Natalie4ever]

Answer to Question 1

ANS: C
In a cystoscope and cystogram procedure, a cystoscope is inserted into the bladder for direct visualization, and then contrast solution is injected through the scope so that x-rays can be taken. The response beginning, Your doctor will place a catheter describes a renal arteriogram procedure. The response beginning, Your doctor will inject a radioactive solution describes a nuclear scan. The response beginning, Your doctor will insert a lighted tube into the bladder, and little catheters will be inserted describes a retrograde pyelogram.

Answer to Question 2

ANS: B
Iodine-based contrast dye is used during IVP and for many computed tomography (CT) scans. The nurse will need to notify the health care provider before the procedures so that the patient can receive medications such as antihistamines or corticosteroids before the procedures are started. The other information is also important to note and document but does not have immediate implications for the patient's care during the procedures.

[londonang]

TYSM

[Dominic]

Excellent