A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?
Give the dosimeter badge to the oncoming nurse at the end of the shift.
Limit family member visits to 30 min per day.
Remove soiled linens from the room after each change.
Apply a second pair of gloves before touching the client's implant if it dislodges.
The Correct Answer is B
B. Family visits should be limited to 30 minutes per day to minimize their exposure.
A It should be worn consistently by the nurse caring for the client with the radiation implant to monitor their radiation exposure. Giving it to the oncoming nurse at the end of the shift is not appropriate because it does not provide real-time monitoring of radiation exposure for the nurse during their shift.
C. Soiled linens should be kept in the room until the radioactive source is removed to prevent the spread of contamination
D. One should never touch it directly; instead, use long-handled forceps and place it in a lead-lined container for safe disposal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Asking the client if they feel like they have food stuck at the base of their throat directly assesses for the hallmark symptom of dysphagia associated with achalasia. This symptom is crucial in diagnosing and monitoring the condition.
A This question assesses for symptoms of esophageal reflux (heartburn), which may not directly relate to the mechanical difficulty of swallowing associated with oral achalasia.
C. This question focuses on sensations of fullness in the neck, which may not specifically relate to swallowing difficulty associated with achalasia.
D. This question assesses for pain during swallowing, which can occur in conditions affecting the throat or esophagus, but it does not specifically address the unique symptom of feeling like food is stuck, which is more typical in achalasia.
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.
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