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 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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Decreased coagulation is not a characteristic finding in nephrotic syndrome. In fact, nephrotic syndrome can increase the risk of thromboembolic events due to the loss of anticoagulants in the urine.
B. Decreased serum lipid levels are not expected in nephrotic syndrome. In fact, nephrotic syndrome is often associated with increased serum lipid levels (hyperlipidemia), as the liver increases production of lipoproteins in response to protein loss.
C. Proteinuria is a hallmark of nephrotic syndrome. The condition is characterized by excessive protein loss in the urine, which leads to hypoalbuminemia and edema.
D. Hyperalbuminemia is not expected in nephrotic syndrome. The condition typically leads to hypoalbuminemia due to the loss of albumin in the urine.
Correct Answer is D
Explanation
A. Peanut allergies are not directly linked to latex allergies.
B. Shellfish allergies are commonly associated with iodine contrast allergies, not latex.
C. Egg allergies are typically linked to reactions with vaccines containing egg proteins, not latex.
D. Strawberry allergies, along with allergies to bananas, kiwis, and avocados, are associated with a higher risk of latex allergy due to shared protein structures.
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