A nurse is caring for a client who has cervical cancer and is receiving brachytherapy. Which of the following actions should the nurse take?
Keep soiled bed linens in the client's room.
Discard the radioactive device in the client's trash can.
Instruct visitors to remain 3 feet from the client.
Limit time for visitors to 2 hr per day.
The Correct Answer is C
A. Soiled bed linens should not be kept in the client's room during brachytherapy due to the risk of contamination. They should be carefully handled and disposed of according to facility protocols.
B. The radioactive device should not be discarded in the trash. It needs to be handled and disposed of by trained personnel in a safe, controlled manner to prevent exposure to others.
C. Visitors should be instructed to maintain a safe distance (usually 6 feet, but 3 feet is sometimes acceptable) from the client during brachytherapy to minimize radiation exposure.
D. Limiting time for visitors to 2 hours per day is not a standard recommendation for brachytherapy. The focus should be on minimizing radiation exposure by limiting proximity to the client, not just limiting time spent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While the pharmacy may be able to provide information on generic alternatives, the nurse should not direct the client to contact the pharmacy for a different medication. The provider is the one who can assess and prescribe alternative medications if necessary.
B. The occupational therapist may not be the appropriate professional to address financial concerns related to medication costs. A social worker is more likely to have the resources and knowledge to assist with these concerns.
C. Arranging for a social worker to assist the client with financial concerns related to medication is the most appropriate action. Social workers can connect clients with resources such as financial assistance programs, insurance options, or discount programs.
D. While the provider may be able to prescribe a cheaper medication, the nurse should not suggest this as the first course of action. A social worker is better suited to help explore the financial situation and provide resources.
Correct Answer is A
Explanation
A. Decreased blood pressure is a key indicator of dehydration. When a client is dehydrated, there is a reduction in circulating blood volume, which can lead to hypotension. This is a common sign of dehydration, especially in cases of gastroenteritis where fluid loss occurs through vomiting and diarrhea.
B. Pitting, dependent edema is more commonly associated with fluid retention or conditions like heart failure or kidney disease, not dehydration. Dehydration typically results in fluid volume deficit, not excess fluid retention.
C. Distended jugular veins are usually indicative of fluid overload, not dehydration. This is often seen in conditions like heart failure, where the body cannot effectively manage fluid volume.
D. Increased blood pressure is not typically a sign of dehydration. Dehydration tends to lead to decreased blood pressure due to reduced blood volume.
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