Page 1825 - Saunders Comprehensive Review For NCLEX-RN

and fluids for the time prescribed.
c. If a cystoscopy alone is planned, no
special preparation is necessary, and
the procedure may be performed in the
PHCP’s office; postprocedure
interventions include increasing fluid
intake.

3. Postprocedure interventions following biopsy

a. Monitor vital signs.
b. Increase fluid intake as prescribed.
c. Monitor intake and output and assess
urine characteristics.
d. Encourage deep-breathing exercises to
relieve bladder spasms and administer
analgesics as prescribed.
e. Administer sitz or tub baths for back
and abdominal pain if prescribed.
f. Note that leg cramps are common
because of the lithotomy position
maintained during the procedure.
g. Inform the client that burning on
urination, pink-tinged or tea-colored
urine, and urinary frequency are
common after cystoscopy and resolve
in a few days.
h. Monitor for bright red urine or clots,
and notify the PHCP if a fever occurs;
an increase in white blood cell (WBC)
count suggests infection.
O. Renal biopsy
1. Description: Insertion of a needle into the kidney to
obtain a sample of tissue for examination; usually
done percutaneously
2. Preprocedure interventions
a. Assess vital signs.

b. Assess baseline coagulation

studies; notify the PHCP if abnormal
results are noted.
c. Verify that an informed consent was
obtained.
d. Withhold food and fluids as prescribed.
3. Intervention during the procedure: Position the client
prone with a pillow under the abdomen and
shoulders.
4. Postprocedure interventions

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