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 wait 1 week after treatment to use a laxative."
"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."
The Correct Answer is D
When reviewing home safety precautions with a client who is to begin radioactive iodine therapy, the nurse should emphasize the importance of using a toilet that is not used by others in the family. The client should also flush the toilet several times after use and clean it with household bleach. The nurse should advise the client to use disposable plates, cups, and utensils and to avoid close contact with others, especially pregnant women and children. The client should also avoid sharing towels, linens, and other personal items. Waiting one week after treatment to use a laxative (choice A) and using cloth handkerchiefs instead of tissues (choice B) are not relevant to home safety precautions for this client. Allowing the granddaughter to visit for four hours daily (choice C) may be unsafe, as the client may still be emitting radiation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B, "Avoid direct sunlight between 10 am and 4 pm." Skin cancer is a prevalent form of cancer, and the primary prevention strategies include avoiding exposure to ultraviolet (UV) radiation. The nurse's statement emphasizes the importance of avoiding the sun's peak intensity, which is between 10 am and 4 pm, to reduce exposure to UV radiation. This primary prevention strategy is effective in reducing the risk of skin cancer, especially for individuals with fair skin, a history of sunburn, or a family history of skin cancer. It is also important to encourage individuals to wear protective clothing, apply sunscreen with a minimum sun protection factor (SPF) of 30, and avoid indoor tanning to further reduce exposure to UV radiation.
Correct Answer is A
Explanation
The correct answer is choice A. A client who has a rigid abdomen with manifestations of shock should receive treatment priority in this situation. In a bombing incident, clients with life-threatening injuries, such as those with uncontrolled bleeding, airway compromise, or shock, should receive immediate attention. A rigid abdomen may indicate internal bleeding, which is a medical emergency requiring prompt intervention. Manifestations of shock, such as tachycardia, hypotension, and altered level of consciousness, indicate poor tissue perfusion and require immediate intervention. The other clients described in the question have less severe injuries and can wait for treatment while more critical injuries are addressed first. A femur fracture with a 2+ pedal pulse indicates adequate circulation to the extremity, superficial partial-thickness burn injuries over 5% of the body are not life-threatening, and an ambulatory client with manic behavior does not have immediate medical needs.
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