Medical Surgical Bladder cancer and cystoscopy #2

Question

The nurse provides care for a client experiencing a small amount of hematuria following a cystoscopy. Which is an appropriate action by the nurse?

Answers

  1. Contact the health care provider.
    • Rationale:

      This answer is not correct because unless the bleeding worsens, there is no reason for the nurse to contact the healthcare provider as hematuria is expected after this procedure. Reassure the client that some hematuria is a normal finding, but monitoring will continue.

  2. Order an ultrasound to rule out active bleeding.
    • Rationale:

      This answer is not correct because it is outside the scope of nursing practice to order an ultrasound to rule out active bleeding; therefore, this is not an appropriate action by the nurse.

  3. Instruct the client to not strain while urinating.
    • Rationale:

      This answer is not correct because the client should be instructed not to strain having a bowel movement, there is no need for the client not to strain with urination. Reassure the client that some hematuria is a normal finding, but monitoring will continue.

  4. Reassure the client this may occur and continue to monitor.
    • Rationale:

      This answer is correct because hematuria is an expected complication associated with cystoscopy; however, hemorrhage that necessitates intervention rarely occurs. Therefore, this is an appropriate response from the nurse to the client.

Overview

Cystoscopy is an endoscopy of the urinary bladder via the urethra. Clients may observe some hematuria post-cytoscopy so reassure the client that this may occur and continue to monitor the client.

Explanation

Learning Outcomes

Cystoscopy is performed to diagnose, monitor, and treat conditions affecting the bladder and urethra. Complications associated with this procedure include bleeding, infection, and pain. It is important to reassure the client that slight amounts of hematuria (i.e., blood in the urine) may occur; however, the nurse will also reassure the client that monitoring will continue.

Test Taking Tip

Consider evidence-based practice guidelines for the treatment of clients post-cystoscopy to answer this question correctly.

Video Rationale