Author Question: A nurse is performing discharge teaching with a patient who had a cystogram. What should the nurse ... (Read 114 times)

pepyto · **on:** Jun 25, 2018

A nurse is performing discharge teaching with a patient who had a cystogram. What should the nurse include in this teaching?

Select all that apply.
1. Take a sitz bath.
2. Increase oral fluid intake.
3. Take acetaminophen for minor pain.
4. Apply heat to the lower back.
5. Drink one ounce of brandy or rum with warm water.

Question 2

The nurse is teaching a patient about a voiding cystogram. Which patient statements indicate that teaching has been effective?

Select all that apply.
1. A urinary catheter will be placed in my bladder.
2. My bladder will be filled with fluid.
3. I will tell you when my bladder feels full.
4. A peripheral IV will be inserted in my arm.
5. I will be sedated for the procedure.

joneynes · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 2

Appropriate techniques for relieving pain after a cystogram include taking a sitz bath, and increasing oral fluid intake. The use of over-the-counter pain medication is not a part of this teaching. Apply heat to the lower abdomen, not the lower back. Tell the patient to avoid alcoholic drinks for two days and that a slight burning sensation with voiding may occur for a day or two.

Answer to Question 2

Correct Answer: 1, 2, 3
During this procedure a urinary catheter will be placed in the bladder so that fluid can be instilled directly into the bladder. Then the bladder will be filled and during filling the patient will be asked to describe the first urge to void, and the sensation of being unable to delay urination any longer. A peripheral IV is not needed for this procedure and the patient is not sedated as the patient must report when the sensation of bladder filling is occurring.