A nurse in a clinic is reviewing home safety precautions with a client who is to begin radioactive iodine therapy. Which of the following statements by the client indicates an understanding of the teaching?
"I will use cloth handkerchiefs instead of tissues."
"I will allow my granddaughter to visit for 4 hours daily."
"I will use a toilet that is not used by others in my family."
"I will wait 1 week after treatment to use a laxative."
The Correct Answer is C
The client should use a toilet that is not used by others in their family for at least 1 week after receiving radioactive iodine therapy. This is to avoid exposing others to radiation.
Option a is incorrect. The client should use disposable tissues instead of cloth handkerchiefs to avoid exposing others to radiation.
Option b is incorrect. The client should limit visitors for the first few days after receiving radioactive iodine therapy to minimize exposure to others.
Option d is incorrect. The client should avoid using laxatives for at least 1 week after receiving radioactive iodine therapy to avoid disrupting the absorption of the radioactive iodine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Children with leukemia are at increased risk for infection and other complications due to their weakened immune system. One potential complication is oral mucositis, which can cause painful sores in the mouth and throat. Inspecting the child's mouth for sores once a week is a preventive measure that can help identify this complication early and allow for prompt treatment.
Taking the child's rectal temperature daily (A) is not a necessary preventive measure for a child with leukemia unless directed by the healthcare provider.
Riding a bicycle (B) can be a healthy activity for a child with leukemia but it does not prevent complications.
Getting a measles, mumps, and rubella vaccine (D) is important for preventing these specific infectious diseases but it is not directly related to preventing complications in a child with leukemia. The vaccine may also not be recommended for a child with leukemia, depending on their treatment plan and medical history.
Correct Answer is B
Explanation
The first priority in discharge planning for this client should be to arrange for a home health nurse to visit the client following discharge to monitor the client's health and provide support. The client's condition is complex and requires ongoing monitoring and support to prevent relapse and ensure safety.
Providing the client with information on self-help groups and determining home safety measures are also important components of the discharge plan, but they should come after ensuring that the client has the necessary support in place. Contacting a social worker to assist with managing finances is not a priority at this time.
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