A 45-year-old woman has just undergone a radical hysterectomy for invasive cervical cancer. Prior to the surgery, the healthcare provider explained to the client that after the surgery an internal source of radiation would be placed near the tumor site to aid in reducing recurrence. Based on this information, the nurse knows to educate the client on which safety precaution?
The client should avoid crowded places.
The client should avoid eating fresh fruits and vegetables.
The client should maintain at least 6 feet from any visitors.
The client should avoid washing off the radiation tattoo markings.
The Correct Answer is C
A. Avoiding crowded places is a precaution related to general health and infection control but is not specifically linked to internal radiation therapy.
B. Avoiding fresh fruits and vegetables is not required for internal radiation therapy. Dietary restrictions are not typically necessary unless specified by the healthcare provider.
C. For internal radiation therapy, maintaining distance from others, typically around 6 feet, is important to minimize radiation exposure to others. This safety measure helps reduce the risk of radiation exposure to family members and visitors.
D. Radiation tattoo markings are used to ensure proper placement of the radiation source and should not be washed off. However, this precaution does not directly relate to safety around radiation exposure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Assessing for sources of bleeding is important in clients with neutropenia, but the highest priority is preventing infection, as the client’s absolute neutrophil count is zero, indicating an extremely high risk for infection.
B. Limiting contact with infected visitors and placing the client in positive pressure isolation is crucial for preventing infections. With a neutrophil count of zero, the client is highly immunocompromised and at a significant risk of infection, making this the highest priority action.
C. Administering antiemetics and assessing nutrition and hydration are important for managing symptoms, but they do not address the immediate risk of infection associated with severe neutropenia.
D. Monitoring energy levels and implementing energy-conserving techniques are important for overall care but do not address the urgent need to protect the client from infections due to their neutropenic status.
Correct Answer is C
Explanation
A. Bradykinesia, hand tremors, and memory loss are more characteristic of Parkinson's disease, not multiple sclerosis.
B. Ascending paralysis beginning in the lower extremities and dysphagia are typical of Guillain-Barré syndrome, not multiple sclerosis. MS does not usually present with paralysis but rather with muscle weakness and sensory disturbances.
C. Early signs of multiple sclerosis often include areas of numbness, weakness in the legs, and visual problems such as optic neuritis. These symptoms result from demyelination and nerve damage in the central nervous system.
D. Choreiform movements and loss of facial expression are associated with Huntington's disease, not multiple sclerosis.
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