A nurse is caring for a client who has a newly implanted sealed internal radiation device to treat cervical cancer. Which of the following is an appropriate action for the nurse to take?
Prohibit visitors for the first 24 hr.
Keep a 3-foot distance from the radiation implant.
Maintain the client on bed rest for 72 hr.
Require the client wear a dosimeter badge.
The Correct Answer is B
A. Visitors are not completely prohibited, but their time should be limited and precautions followed, especially for children and pregnant individuals. Therefore, banning all visitors for 24 hours is unnecessary and overly restrictive.
B. Maintaining a distance of at least 3 feet from the radiation source helps reduce exposure, following the principle of distance in radiation safety. This is an appropriate and effective protective measure for the nurse.
C. Bed rest is typically required to prevent displacement of the sealed radiation device, but it is not specifically prescribed for a fixed duration like 72 hours. The duration depends on the treatment plan, so this statement is too rigid and not universally correct.
D. Dosimeter badges are worn by healthcare workers to measure occupational exposure, not by clients receiving radiation therapy. Therefore, this action is inappropriate for the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A metallic taste in the mouth is a common side effect of the contrast dye used in IV urography procedures and is not typically a cause for concern.
B. Abdominal fullness may occur due to the administration of fluids during the procedure and is not usually a priority finding unless it persists or is severe.
C. Feeling flushed and warm may be a transient reaction to the contrast dye and does not typically require immediate intervention unless accompanied by other symptoms.
D. Swollen lips could indicate an allergic reaction to the contrast dye, which can progress rapidly and potentially lead to a severe reaction such as anaphylaxis. This is the priority finding requiring immediate attention.
Correct Answer is B
Explanation
A. Serum calcium levels are not directly indicative of hypervolemia.
B. A urine specific gravity of 1.001 indicates dilute urine, which is a common finding in hypervolemia as the kidneys attempt to excrete excess fluid.
C. Serum sodium levels within the normal range (e.g., 138 mEq/L) are not indicative of hypervolemia.
D. Urine pH of 6.1 is within the normal range and does not specifically indicate hypervolemia.
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