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NCLEX-RN

Category - Reduction of Risk

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Aldo, a newly admitted client, is scheduled for cystoscopy in two days. While reviewing the client’s record, the nurse notes which detail in the medical history that further increases the client’s risk for complications?

Ureteral strictures
Chronic urinary tract infection
Renal calculi
Warfarin therapy three months ago

Explanation

Answer: B - A client is at risk for complication if he has a history of chronic urinary tract infection. The test is done by visualization of the urethra, bladder and urethral orifices. This procedure may result in an ascending infection travelling towards the kidney and pelvis. Ureteral strictures and renal calculi are abnormal findings that can be seen from this test. Warfarin therapy three months ago does not indicate a potential risk to this client.

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