A nurse on an oncology unit is caring for a client who is receiving internal radiation therapy. Which of the following actions should the nurse take?
Wear a lead apron when providing client care.
Allow visitors to hold the client's hand.
Leave the door to the client's room open.
Place the dosimeter him badge on the client's do
The Correct Answer is A
Choice A Reason:
Wearing a lead apron when providing client care is appropriate. When caring for a client who is receiving internal radiation therapy, the nurse should take appropriate safety measures to minimize their exposure to radiation. Wearing a lead apron when providing care to the client helps shield the nurse's body from radiation exposure and reduces the risk of harm.
Choice B Reason:
Allowing visitors to hold the client's hand is inappropriate. Visitors should also be educated about radiation safety measures and should not be encouraged to have close contact with the client during internal radiation therapy.
Choice C Reason:
Leaving the door to the client's room open is inappropriate. Closing the door to the client's room can help contain radiation and limit its spread to other areas.
Choice D Reason:
Placing the dosimeter badge on the client's bed is inappropriate. The dosimeter badge should be worn by healthcare personnel to measure their radiation exposure. Placing it on the client's bed does not accurately measure the nurse's exposure and is not the correct use of the badge.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Carvedilol is not the correct medication. Carvedilol is a beta-blocker used for heart conditions, and there is no specific need to withhold it following a CT scan with contrast media.
Choice B Reason:
Clopidogrel is not the correct medication. Clopidogrel is an antiplatelet medication, and there is no specific need to withhold it following a CT scan with contrast media.
Choice C Reason:
Metformin is the correct medication. The nurse should instruct the client to withhold metformin for 48 hours following a CT scan with contrast media. Contrast media used in imaging procedures can potentially cause kidney damage, and when combined with metformin, there is a risk of a serious condition called lactic acidosis. Withholding metformin for 48 hours after the procedure helps prevent this risk.
Choice D Reason:
Furosemide is not the correct medication. - Furosemide is a diuretic, and there is no specific need to withhold it following a CT scan with contrast media.
Correct Answer is C
Explanation
Choice A reason:
Hct 42% is not appropriate. This haematocrit value is within the normal range (usually around 36-46% for females and 38-50% for males).
Choice B reason:
WBC count 8,000/mm3 is not appropriate. This white blood cell count is within the normal range (typically around 4,500 to 11,000/mm3).
Choice C reason:
INR of 1.6 An INR (International Normalized Ratio) of 1.6 indicates that the client's blood clotting time is prolonged, which means that they might have a decreased ability to form blood clots. This could pose a significant risk during surgery, as proper blood clotting is important to prevent excessive bleeding. The surgeon needs to be aware of this result to determine if any adjustments to the surgical plan or preoperative medications are necessary to ensure the client's safety.
Choice D reason:
Platelets 95,000/mm3 is not appropriate This platelet count is slightly lower than the normal range (typically around 150,000 to 450,000/mm3), but it might not be low enough to be immediately concerning, especially if the client doesn't have a history of bleeding disorders. However, it's still important for the surgical team to be aware of this value.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today