The nurse is caring for a client with a cystoscopy tube draining urine from the bladder. When reviewing the client’s history prior to administering care, which is of most concern? Crusted drainage around the cystoscopy tube Diagnostic studies reporting bladder stones New diagnosis of urosepsis A white blood count of 12,000 cells/mm3
When reviewing the client’s history prior to administering care for a client with a cystoscopy tube draining urine from the bladder, the most concerning factor would be:
New diagnosis of urosepsis.
Rationale:
Urosepsis indicates a severe infection that has spread from the urinary tract into the bloodstream. This is a critical condition that requires immediate medical attention and could significantly impact the client’s overall health and the urgency of nursing interventions.
Crusted drainage around the cystoscopy tube can indicate irritation or infection but is not as immediately concerning as urosepsis.
Diagnostic studies reporting bladder stones may warrant monitoring and management but are not an acute issue unless they lead to an obstruction or infection.
A white blood count of 12,000 cells/mm³ indicates leukocytosis, which may suggest an infection but is not definitive. Normal WBC counts can vary, and this level might not be alarming in the context of other clinical findings.
In summary, the new diagnosis of urosepsis poses the highest risk and requires prioritization in the care plan.