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.

Answer and Explanation

The Correct Answer is A

A. Keep soiled bed linens in the client's room: This is correct. During internal radiation (brachytherapy), items in contact with the client, including soiled linens, must remain in the room until radiation treatment is complete to prevent accidental radiation exposure to staff or other clients. Radiation safety protocols require limiting the spread of potentially contaminated materials.
B. Discard the radioactive device in the client's trash can: This is unsafe and violates strict radiation safety procedures. A dislodged device must be handled only with forceps and stored in a lead container until properly managed by radiation safety personnel.
C. Instruct visitors to remain 3 feet from the client: While distance is important, visitors should actually maintain at least 6 feet from the client and visits should be kept short, typically under 30 minutes.
D. Limit time for visitors to 2 hr per day: This exceeds the standard safety limit. The time spent by visitors in the room should be minimized—generally limited to 30 minutes or less per day—to reduce exposure to radiation.

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Correct Answer is []

Explanation

Rationale:

The client exhibits hallmark symptoms of Systemic Lupus Erythematosus (SLE), including a butterfly rash on the cheeks, alopecia, joint tenderness, and elevated ANA and ESR levels. These findings, combined with anemia and thrombocytopenia, are consistent with SLE, an autoimmune disorder characterized by systemic inflammation and tissue damage.

Multiple sclerosis is primarily a neurological condition and does not align with the client’s dermatological and hematological findings. Celiac disease is associated with gastrointestinal symptoms and gluten sensitivity, which the client denies. Type 1 diabetes mellitus involves hyperglycemia and insulin deficiency, which are not relevant to the presented symptoms.

Helping the client identify aggravating factors (e.g., sunlight exposure, stress) is crucial for managing SLE. Recommending low-impact exercises can help maintain joint mobility and reduce inflammation.

Monitoring adherence to corticosteroid therapy is essential since these medications are often used to control inflammation in SLE. Assessing for depression related to body image is important due to the physical manifestations of SLE, such as alopecia and hyperpigmentation, which may affect the client’s mental health.

A. Calcium B. Triiodothyronine (T3) C. Phosphorus D. Thyroid-stimulating hormone (TSH)

Correct Answer is B

Explanation

A. Calcium levels are not typically elevated in Graves' disease. Calcium levels are more commonly affected by parathyroid disorders or bone-related issues.

B. Triiodothyronine (T3) is one of the thyroid hormones and is typically elevated in Graves' disease. Graves' disease is an autoimmune disorder that causes hyperthyroidism, which leads to an overproduction of thyroid hormones, including T3 and thyroxine (T4).

C. Phosphorus levels are not typically elevated in Graves' disease. Phosphorus imbalances are more commonly associated with kidney disease or parathyroid disorders.

D. Thyroid-stimulating hormone (TSH) levels are usually low in Graves' disease due to the negative feedback mechanism. In hyperthyroidism, the overproduction of thyroid hormones suppresses the release of TSH from the pituitary gland.

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A nurse is caring for a client who has cervical cancer and is receiving brachytherapy. Which of the following actions should the nurse take?

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