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.
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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Related Questions
Correct Answer is C
Explanation
A. Offering the dog water may not be appropriate unless the client requests it. The dog is working and may not need a break at that moment. Offering water without consulting the client could be intrusive.
B. Petting the dog is not appropriate unless the client specifically invites it. Service dogs are working animals and should not be distracted by strangers petting them.
C. Consulting the client before approaching the dog is the most respectful approach. Service dogs are vital to their handlers, and the nurse should always ask the client’s permission before interacting with the dog. This ensures that the handler's needs and the dog’s working status are respected.
D. Commanding the dog to sit is not appropriate unless directed by the client. The service dog is trained to respond to the client’s commands, and the nurse should not give commands to the dog unless the client asks for assistance.
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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