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 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.

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Correct Answer is D

Explanation

A. Monitoring urine for white blood cells is not directly related to the use of ibuprofen. White blood cells in the urine are more indicative of an infection, such as a urinary tract infection.

B. Fasting blood glucose is not typically required for monitoring the effects of ibuprofen. Although ibuprofen can affect renal function, it does not directly impact blood glucose levels.

C. Serum calcium is not the most relevant test for monitoring the effects of long-term ibuprofen use. Ibuprofen can affect kidney function, but calcium levels are not the primary concern.

D. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastrointestinal irritation and increase the risk of gastrointestinal bleeding. Monitoring stool for occult blood is important to detect any potential bleeding from the gastrointestinal tract, which is a common side effect of chronic NSAID use.

A. "Are you afraid of needles that will be used during the procedure?" B. "After this procedure, you will feel much better." C. "Tell me why you are scared to have this procedure." D. "Let's discuss your concerns about this procedure."

Correct Answer is D

Explanation

A. Asking the client if they are afraid of needles may not address the root of the client's fear and could limit the conversation. It may also imply that their fear is based solely on needles, which may not be the case.

B. While the procedure may provide relief, telling the client they will feel better immediately may minimize their concerns and give false assurance. It’s more important to explore the client’s feelings first.

C. While asking the client to explain why they are scared is an open-ended question, it could make the client feel pressured to elaborate on their fears. It’s better to create a supportive environment by asking to discuss concerns more broadly.

D. This response acknowledges the client’s fear and invites them to express their concerns in a nonjudgmental and open way, which helps build trust and allows the nurse to address the client’s specific worries.

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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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Naxlex Comprehensive Predictor Exams

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