A nurse is planning care for a client who has a sealed radiation implant and is to remain in the hospital for 1 week. Which of the following should the nurse include in the plan of care?

Limit each of the client's visitors to 1hr per day

Remove dirty linens from the room after double bagging

Wear a dosimeter film badge while in the client's room

Ensure family members remain at least 1m (3.2 feet) from the client

Answer and Explanation

The Correct Answer is C

A. Limit each of the client's visitors to 1 hr per day: Visitor restrictions for clients with sealed radiation implants typically focus on limiting cumulative exposure to radiation rather than a strict daily time limit. The exact duration may vary, but monitoring personal exposure is more critical for staff safety.

B. Remove dirty linens from the room after double bagging: For sealed radiation implants, the radioactive source remains contained, and linens are not highly radioactive. Standard precautions are sufficient, so special double-bagging is not required unless the linens are contaminated with bodily fluids.

C. Wear a dosimeter film badge while in the client's room: Staff who care for clients with sealed radiation implants must wear a dosimeter to monitor cumulative radiation exposure. This ensures that occupational safety limits are not exceeded and provides documentation of exposure levels, which is a key safety measure in the plan of care.

D. Ensure family members remain at least 1 m (3.2 feet) from the client: Family members may need limited exposure, but strict distance alone is not sufficient for safety or required for all types of sealed implants. Staff exposure monitoring via dosimeter is more critical, as they spend more time in the room and are at greater risk for cumulative exposure.

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Correct Answer is D

Explanation

A. Impetigo: Impetigo is a common superficial skin infection and is typically not a nationally notifiable disease. Reporting is usually not required to the CDC unless part of a specific outbreak investigation.

B. Pneumocystis pneumonia: This infection is often associated with immunocompromised individuals, such as those with HIV/AIDS, but it is not a reportable condition to the CDC under standard public health surveillance.

C. Human papilloma virus: HPV infections are common and typically not reportable to the CDC for surveillance purposes, although certain high-risk HPV-related cancers are tracked indirectly.

D. Hepatitis A: Hepatitis A is a nationally notifiable disease due to its potential for outbreaks and public health impact. Cases must be reported to local and state health departments, which in turn report to the CDC to monitor and control the spread of infection.

A. Digoxin 0.125 mg PO daily B. Strict intake and output C. Cardiac monitoring D. Spironolactone 25 mg PO daily

Correct Answer is A

Explanation

A. Digoxin 0.125 mg PO daily: Hypokalemia increases the risk of digoxin toxicity because low potassium enhances the drug’s effects on cardiac cells. Administering digoxin without correcting potassium levels can lead to life-threatening arrhythmias, so the nurse should verify this prescription with the provider before giving the medication.

B. Strict intake and output: Monitoring fluid balance is appropriate for a client with heart failure but does not pose immediate safety risks related to potassium levels. This action is standard and does not require prescription verification.

C. Cardiac monitoring: Continuous cardiac monitoring is a safe and appropriate nursing intervention for a client with heart failure and hypokalemia. It does not require verification from the provider and is essential for early detection of arrhythmias.

D. Spironolactone 25 mg PO daily: Spironolactone is a potassium-sparing diuretic and can help correct hypokalemia. Administering this medication is generally safe in this context and does not require additional verification related to the low potassium level.

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A nurse is planning care for a client who has a sealed radiation implant and is to remain in the hospital for 1 week. Which of the following should the nurse include in the plan of care?

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