A nurse is providing teaching to a group of clients who are receiving radioactive isotope therapy. Which of the following information should the nurse include?

Remain at least 1 foot away from young children during treatment.

Use cloth handkerchiefs instead of disposable tissues.

Use absorbent briefs for incontinence as needed.

Flush the toilet with the lid closed three times after use.

Answer and Explanation

The Correct Answer is D

D. This practice is recommended as a safety precaution to minimize the risk of radioactive contamination following treatment with radioactive isotopes. It helps to ensure that any residual radioactivity is contained and not inadvertently spread, which is particularly important in shared or public bathrooms.

A The recommended distance is typically at least 1 meter (approximately 3 feet), although specific guidelines may vary depending on the type and dose of radiation used.

B. The use of cloth handkerchiefs versus disposable tissues does not significantly affect radiation safety. The focus should be on minimizing contamination and ensuring proper disposal of any tissues or materials that come into contact with bodily fluids.

C. While managing incontinence appropriately is important for comfort and hygiene, it is not directly related to radiation safety. Clients should use standard incontinence products as needed, ensuring proper disposal and hygiene practices.

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Correct Answer is D

Explanation

D. The nurse should ensure that the client understands how to use the PCA device, including how to press the button to deliver a dose, the lockout interval (if applicable), and any safety features. Proper education empowers the client to manage their pain effectively while minimizing risks.

A The nurse should monitor the client's respiratory rate, depth, and effort more frequently than every 4 hours, particularly during the first 24 hours of PCA use

B. Family members should be educated on the purpose of the PCA device but should not be encouraged to operate it on behalf of the client.

C. The nurse should not administer an oral opioid for breakthrough pain as the client is already receiving morphine via PCA. Adjusting the PCA settings or providing additional IV opioid doses are more appropriate interventions for managing breakthrough pain in this context.

A. The client advances the weaker leg forward to the cane. B. The client holds the cane with their left hand. C. The client takes a step with their right foot first. D. The client moves the cane 2 feet ahead.

Correct Answer is A

Explanation

A Advancing the weaker leg forward to the quad cane first indicates that the client understands the proper sequence of using the cane to support their weaker side. This action provides stability and reduces the risk of falls or imbalance.

B. Holding the cane with the opposite hand of the weaker side (right hand, in this case) is crucial to provide proper support and balance while walking. This distributes weight evenly and enhances stability.

C. Taking a step with the stronger foot first does not effectively support the weaker side and can lead to imbalance or falls, especially for a client with left-sided weakness.

D. While moving the cane ahead with each step is necessary, the distance of two feet is not specified in proper cane use. The cane should move forward incrementally with each step to maintain stability and support.

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A nurse is providing teaching to a group of clients who are receiving radioactive isotope therapy. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving morphine through a PCA device. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is teaching a client who has left-sided weakness how to use a quad cane. Which of the following client actions indicates an understanding of the teaching?

Correct Answer is A

Explanation

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