A client with a diagnosis of prostate cancer is scheduled to receive high-dose brachytherapy (HDR). What should the nurse include in this client's plan of care?
Assign the client to a shared room with other clients receiving brachytherapy.
Minimize time spent in close proximity to the client whenever possible.
Perform all aspects of basic care independently without client involvement.
Limit the time visitors spend at the client’s bedside.
The Correct Answer is D
Choice A reason: Clients receiving high-dose brachytherapy require radiation precautions, including private rooms to minimize exposure to others. A shared room is contraindicated due to radiation safety protocols.
Choice B reason: While minimizing close contact is part of radiation safety, the priority nursing intervention involves managing visitor exposure, which is more strictly regulated.
Choice C reason: Encouraging client independence is important unless contraindicated. Performing all care independently is not necessary and may reduce autonomy unnecessarily.
Choice D reason: Visitors must limit their time at the bedside due to radiation exposure risks. Guidelines typically restrict visits to short durations and require maintaining a safe distance, making this the most appropriate intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Encouraging fluid intake helps thin mucus, making it easier to expectorate. Hydration is a key intervention for managing thick secretions in COPD.
Choice B reason: A dry environment can worsen secretion viscosity. Humidified air is preferred to help loosen mucus.
Choice C reason: Bronchodilators should be administered as prescribed, often before meals to improve breathing and reduce fatigue during eating. Delaying until after meals may reduce effectiveness.
Choice D reason: Lying flat can impair ventilation and secretion clearance. Upright positioning is preferred to promote lung expansion and effective coughing.
Correct Answer is A
Explanation
Choice A reason: The combination of an ACE inhibitor and a loop diuretic can significantly lower blood pressure. A reading of 94/59 mm Hg indicates hypotension, which may lead to dizziness, falls, or syncope. This is the most immediate concern.
Choice B reason: Oxygen saturation is within normal limits, and there are no signs of respiratory compromise. Hypoxia is not currently a risk.
Choice C reason: While medication management is important, the most pressing issue is the physiological effect of the medications—hypotension.
Choice D reason: The heart rate is normal, and there is no evidence of dysrhythmia. Perfusion risk due to dysrhythmia is not the priority at this time.
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