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 A
Explanation
A. The first priority during a tonic-clonic seizure is to ensure the client's airway is clear and to prevent aspiration or injury. Turning the client on their side helps to keep the airway open and allows any secretions to drain from the mouth, reducing the risk of aspiration.
B. Performing a neurologic check is important after the seizure has ended, but the immediate action is to protect the client during the seizure.
C. Notifying the rapid response team is important if the seizure is prolonged or if the client is unresponsive to interventions, but the priority is to ensure safety during the seizure.
D. Obtaining vital signs can be done after the seizure ends, but the immediate priority is ensuring the client's safety and airway.
Correct Answer is C
Explanation
A. While the pharmacy may be able to provide information on generic alternatives, the nurse should not direct the client to contact the pharmacy for a different medication. The provider is the one who can assess and prescribe alternative medications if necessary.
B. The occupational therapist may not be the appropriate professional to address financial concerns related to medication costs. A social worker is more likely to have the resources and knowledge to assist with these concerns.
C. Arranging for a social worker to assist the client with financial concerns related to medication is the most appropriate action. Social workers can connect clients with resources such as financial assistance programs, insurance options, or discount programs.
D. While the provider may be able to prescribe a cheaper medication, the nurse should not suggest this as the first course of action. A social worker is better suited to help explore the financial situation and provide resources.
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