A nurse is planning care for a client who has a sealed radiation implant and is to remain in the hospital for 1 week. Which of the following should the nurse include in the plan of care?
Limit each of the client's visitors to 1 hr per day.
Remove dirty linens from the room after double bagging.
Wear a dosimeter film badge while in the client's room.
Ensure family members remain at least 1 m (3.2 feet) from the client.
The Correct Answer is C
A. Limit each of the client's visitors to 1 hr per day. - This is not necessary specifically due to the presence of the radiation implant. Visitation restrictions should be based on hospital policy and
the client's condition, not solely on the presence of a radiation implant.
B. Remove dirty linens from the room after double bagging. - This is a standard infection control measure and is not specific to caring for a client with a radiation implant.
C. Wear a dosimeter film badge while in the client's room. - Healthcare workers who care for clients with sealed radiation implants should wear dosimeter film badges to monitor their radiation exposure levels.
D. Ensure family members remain at least 1 m (3.2 feet) from the client. - While limiting exposure to radiation is important, maintaining distance alone may not provide adequate
protection. Healthcare workers should follow appropriate safety precautions and use shielding as necessary when caring for clients with radiation implants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Delegating tasks to appropriate personnel is an important skill, but effective time management also involves personal task completion.
B. Completing activities for one client before moving to the next helps ensure tasks are not left incomplete and promotes organized workflow.
C. Focusing on objectives rather than just activities is a more comprehensive approach to time management, ensuring tasks align with goals.
D. Skipping break times can lead to burnout and decreased efficiency over time, rather than improving time management skills.
Correct Answer is D
Explanation
A. Constipation is not typically associated with TPN because the client is receiving nutrients intravenously rather than through the gastrointestinal tract.
B. Respiratory depression is not a direct complication of TPN administration.
C. Hypotension is not a common complication of TPN unless associated with fluid shifts or infection.
D. Electrolyte imbalance is a potential complication of TPN due to the high concentrations of glucose, electrolytes, and other nutrients. Rapid infusion, improper formulation, or abrupt discontinuation can lead to imbalances in sodium, potassium, calcium, magnesium, and phosphate. Frequent monitoring of laboratory values is essential to prevent metabolic complications.
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