The patient is going to have a cystoscopy. Which of the following ...

[torybrooks]

The patient is going to have a cystoscopy. Which of the following statements or questions reflects the correct information that should be taught or obtained before the procedure?
 
  a. Are you allergic to iodine?
  b. There will be no need to have a special consent form.
  c. You will need to have fluids restricted the evening before the cystoscopy.
  d. You will probably be given sedatives before the procedure.

Question 2

A female patient has been undergoing diagnostic testing since admission to the hospital's medical unit. The results of blood testing are sent back to the unit.
 
  On reviewing the following results, the nurse will report which one as abnormal to the physician? a. Erythrocyte sedimentation rate (ESR), 35 mm/hour
  b. White blood cells (WBCs), 7  109 cells/L
  c. Neutrophils, 65
  d. Iron, 75 g/100 mL

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Answer to Question 1

D

Feedback
A A cystoscopy involves direct visualization. Because no contrast dye is used, the nurse does not need to ask if the patient is allergic to iodine.
B A signed consent form is obtained.
C Fluids are not restricted before or after the procedure. The flushing action helps remove bacteria from the urethra.
D Although this procedure can be accomplished by using local anaesthesia, it is more commonly performed by using general anaesthesia or conscious sedation to avoid unnecessary anxiety and trauma for the patient.

Answer to Question 2

A

Feedback
A The normal ESR for women is 20 mm/hour. The patient's ESR is 35 mm/hour, indicating the presence of an inflammatory process.
B The normal WBC count is 4  109 to 11  109 cells/L. The patient is within normal limits at 7  109 cells/L.
C The normal neutrophil count is 55 to 70. A result of 65 is within normal limits.
D The normal iron level is 60 to 90 g/100 mL. The patient's iron level of 75 g/100 mL is within normal limits.

[torybrooks]

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