A nurse is caring for a client who has cervical cancer and is receiving brachytherapy. Which of the following actions should the nurse take?

Keep soiled bed linens in the client's room.

Discard the radioactive device in the client's trash can.

Instruct visitors to remain 3 feet from the client.

Limit time for visitors to 2 hr per day.

Answer and Explanation

The Correct Answer is A

A. Keep soiled bed linens in the client's room: This is correct. During internal radiation (brachytherapy), items in contact with the client, including soiled linens, must remain in the room until radiation treatment is complete to prevent accidental radiation exposure to staff or other clients. Radiation safety protocols require limiting the spread of potentially contaminated materials.
B. Discard the radioactive device in the client's trash can: This is unsafe and violates strict radiation safety procedures. A dislodged device must be handled only with forceps and stored in a lead container until properly managed by radiation safety personnel.
C. Instruct visitors to remain 3 feet from the client: While distance is important, visitors should actually maintain at least 6 feet from the client and visits should be kept short, typically under 30 minutes.
D. Limit time for visitors to 2 hr per day: This exceeds the standard safety limit. The time spent by visitors in the room should be minimized—generally limited to 30 minutes or less per day—to reduce exposure to radiation.

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Correct Answer is C

Explanation

A. Limiting fluids to 1.5 L per day is not appropriate for a client recovering from a sickle cell crisis. Adequate hydration is essential to help prevent further sickling of red blood cells and to promote overall circulation.

B. Avoiding the flu vaccination is incorrect. Vaccination, including the flu vaccine, is recommended for individuals with sickle cell disease to reduce the risk of infections, which can trigger a crisis.

C. Avoiding extremely hot or cold temperatures is important for individuals with sickle cell disease. Extreme temperatures can cause vasoconstriction or vasodilation, which may exacerbate sickling and increase the risk of a crisis.

D. Limiting alcohol intake to one drink per day may be advised for general health, but it is not as directly relevant to managing sickle cell disease. Hydration and avoiding stressors such as extreme temperatures are more critical.

A. Maintain the client on NPO status. B. Monitor the client for hypercalcemia. C. Administer antihypertensive medications. D. Place the client in a supine position.

Correct Answer is A

Explanation

A. Maintaining the client on NPO (nothing by mouth) status is essential in the management of acute pancreatitis. This helps to rest the pancreas and prevent stimulation of pancreatic enzyme production, which can worsen the condition.

B. Monitoring for hypercalcemia is not a primary focus in acute pancreatitis. Hypocalcemia, rather than hypercalcemia, is more commonly associated with pancreatitis due to the deposition of calcium in areas of fat necrosis.

C. Administering antihypertensive medications is not a priority in the initial management of acute pancreatitis unless the client is also experiencing hypertension. The focus should be on fluid management and preventing complications like infection and shock.

D. Placing the client in a supine position is not recommended for acute pancreatitis. The client should be positioned in a semi-Fowler's position to reduce abdominal pressure and promote comfort.

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A nurse is caring for a client who has cervical cancer and is receiving brachytherapy. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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