A nurse is caring for a client who has cervical cancer and is receiving brachytherapy.
Which of the following actions should the nurse take?
Limit time for visitors to 2 hr per day.
Instruct visitors to remain 6 feet from the client.
Discard the radioactive device in the client's trash can.
Keep soiled bed linens in the client's room.
Keep soiled bed linens in the client's room.
The Correct Answer is B
A) Limiting time for visitors is necessary in this case. However, the time should be limited to 1 hour in 24 hours and not 2 hours.
B) Instructing visitors to remain 6 feet from the client is crucial for their safety to minimize radiation exposure. Brachytherapy involves the use of a radioactive source placed close to or inside the tumor, and while the patient is emitting radiation, safety precautions must be taken to protect others from exposure. Safety measures such as maintaining a safe distance help ensure that the radiation exposure to others is As Low As Reasonably Achievable (ALARA), a principle that aims to minimize exposure while achieving the necessary therapeutic effect.
C) Discarding the radioactive device in the client's trash can is incorrect as it poses a risk of exposure to others.
D) Keeping soiled bed linens in the client's room is incorrect as they may be contaminated with radiation and should be handled according to radiation safety protocols.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"A"}}
Explanation
A) An increase in oxygen saturation to 96% at a reduced oxygen flow rate indicates potential improvement in respiratory function, which can be a positive sign of recovery from a UTI.
B) Disorientation to person, place, and time suggests a potential worsening of the condition, as UTIs can cause confusion, especially in older adults and those with dementia.
C) A drop in blood pressure to 100/50 mm Hg could indicate potential worsening, as it may suggest dehydration or sepsis, both of which can complicate a UTI.
D) A decrease in hematocrit (Hct) to 45% is within the normal range and could indicate an improvement if previously elevated due to dehydration.
E) Pink-tinged urine may indicate the presence of blood, a sign of potential worsening, as it could suggest a more severe infection or other complications.
F) A butterfly rash is not typically associated with a UTI and may be unrelated to the current diagnosis; in this scenario it is related to the patient’s history of systemic lupus erythematosus.
Correct Answer is C
Explanation
A) Beef stew do not contain significant amounts of vitamin K and thus have a lesser impact on INR levels.
B) Orange juice do not contain significant amounts of vitamin K and thus have a lesser impact on INR levels.
C) Warfarin's effectiveness can be influenced by vitamin K, which is found in high amounts in kale and other green leafy vegetables. Consistent intake of vitamin K is crucial as fluctuations can affect the International Normalized Ratio (INR), a measure of blood clotting.
D) Yogurt do not contain significant amounts of vitamin K and thus have a lesser impact on INR levels.
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