A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?

Give the dosimeter badge to the oncoming nurse at the end of the shift.

Limit family member visits to 30 min per day.

Remove soiled linens from the room after each change.

Apply a second pair of gloves before touching the client's implant if it dislodges.

Answer and Explanation

The Correct Answer is B

B. Family visits should be limited to 30 minutes per day to minimize their exposure.

A It should be worn consistently by the nurse caring for the client with the radiation implant to monitor their radiation exposure. Giving it to the oncoming nurse at the end of the shift is not appropriate because it does not provide real-time monitoring of radiation exposure for the nurse during their shift.

C. Soiled linens should be kept in the room until the radioactive source is removed to prevent the spread of contamination

D. One should never touch it directly; instead, use long-handled forceps and place it in a lead-lined container for safe disposal.

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Correct Answer is D

Explanation

D. A weight loss of 1.8 kg (4 lb) in the past 24 hours indicates effective diuresis (urine output) and reduction in fluid volume, which is the therapeutic goal of furosemide in treating pulmonary edema.

A Furosemide is a loop diuretic that typically causes a decrease in blood pressure by promoting the excretion of excess fluid and sodium from the body.

B. Adventitious breath sounds such as crackles (rales) indicate the presence of fluid in the lungs, which is a characteristic finding in pulmonary edema.

C. A respiratory rate of 24 breaths per minute is within normal range for an adult at rest. While this respiratory rate is not abnormal, it also does not directly indicate whether furosemide is effective in treating pulmonary edema.

A. Remain at least 1 foot away from young children during treatment. B. Use cloth handkerchiefs instead of disposable tissues. C. Use absorbent briefs for incontinence as needed. D. Flush the toilet with the lid closed three times after use.

Correct Answer is D

Explanation

D. This practice is recommended as a safety precaution to minimize the risk of radioactive contamination following treatment with radioactive isotopes. It helps to ensure that any residual radioactivity is contained and not inadvertently spread, which is particularly important in shared or public bathrooms.

A The recommended distance is typically at least 1 meter (approximately 3 feet), although specific guidelines may vary depending on the type and dose of radiation used.

B. The use of cloth handkerchiefs versus disposable tissues does not significantly affect radiation safety. The focus should be on minimizing contamination and ensuring proper disposal of any tissues or materials that come into contact with bodily fluids.

C. While managing incontinence appropriately is important for comfort and hygiene, it is not directly related to radiation safety. Clients should use standard incontinence products as needed, ensuring proper disposal and hygiene practices.

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A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?

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