The nurse is reviewing instructions provided to a client about an ...

[dalyningkenk]

The nurse is reviewing instructions provided to a client about an upcoming cystoscopy. Which client response indicates that no further teaching is required?
 
  1. During the procedure the physician will take x-rays.
  2. I will be awake for this procedure.
  3. The doctor will be able to see my kidneys.
  4. The scope is a lighted instrument inserted through the urethra.

Question 2

A client is scheduled for a barium enema. What is the nursing priority for this client?
 
  1. Assess bowel sounds.
  2. Assess for allergies.
  3. Cleanse the bowel.
  4. Keep the client NPO.

[ilianabrrr]

Answer to Question 1

Correct Answer: 4
Rationale 1: Because cystoscopy is direct visualization, x-rays are not needed nor taken.
Rationale 2: Clients are either put to sleep or consciously sedated during this procedure; they are not awake.
Rationale 3: Only the bladder, ureteral orifices, and urethra are directly visualized.
Rationale 4: The cystoscope is a lighted instrument inserted through the urethra.

Answer to Question 2

Correct Answer: 3
Rationale 1: Assessing bowel sounds is important, but if the bowel is not free of feces, the barium enema will not be accurate.
Rationale 2: Assessing for allergies is important, but if the bowel is not free of feces, the barium enema will not be accurate.
Rationale 3: For visualization of the colon, the bowel has to be cleansed; otherwise the test cannot be performed. Therefore, that is the first priority the nurse must keep in mind.
Rationale 4: Keeping the client NPO is important, but if the bowel is not free of feces, the barium enema will not be accurate.

[dalyningkenk]

TYSM

[amcvicar]

Excellent