A nurse is planning care for a client who is undergoing brachytherapy with a low-dose radiation implant for treatment of prostate cancer.
Which of the following interventions should the nurse include in the client's plan of care?
Limit each of the client's visitors to 2 hr per day.
Instruct visitors to stay 1 m (3.3 feet) away from the client.
Attach a dosimeter to the client's gown.
Strain the client's urine.
The Correct Answer is C
Choice A rationale:
Limiting each of the client's visitors to 2 hours per day is not a necessary precaution for a client undergoing brachytherapy with a low-dose radiation implant. The duration of visitor stays does not directly impact the effectiveness of the treatment or the safety of the client.
Choice B rationale:
Instructing visitors to stay 1 m (3.3 feet) away from the client is not a standard practice for patients undergoing brachytherapy. Radiation safety protocols are in place to protect both the patient and visitors. However, the exact distance may vary based on the specific treatment and facility guidelines.
Choice C rationale:
Attaching a dosimeter to the client's gown is the correct action. A dosimeter measures the amount of radiation exposure received by the client. This information is crucial for healthcare providers to monitor the client's radiation dose, ensuring it stays within safe limits and effectively targets the cancer cells.
Choice D rationale:
Straining the client's urine is not directly related to brachytherapy with a low-dose radiation implant. This intervention is more relevant in situations where kidney stones or other urinary obstructions are suspected. It is not a standard practice for patients undergoing brachytherapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
pH 7.31
Rationale:
A - This is incorrect because weight gain is not expected in clients who have COPD, as they often have difficulty eating and digesting food due to dyspnea and fatigue.
B - This is incorrect because a decrease in anteroposterior diameter of the chest is not typical of COPD, as the condition causes hyperinflation and air trapping in the lungs, leading to an increase in chest size and a barrel-shaped appearance.
C - This is incorrect because HCO3 24 mEq/L is within the normal range for blood bicarbonate levels, which are 22 to 26 mEq/L. Clients who have COPD often have chronic respiratory acidosis, which stimulates the kidneys to retain bicarbonate and increase its levels in the blood to compensate for the low pH.
D - This is correct because pH 7.31 indicates acidosis, which is common in clients who have COPD due to impaired gas exchange and accumulation of carbon dioxide in the blood.
Correct Answer is D
Explanation
Place the client in a quiet environment.
- A. Limiting suctioning the client's airway to 30 seconds at a time can reduce intracranial pressure by minimizing hypoxia and hypercarbia, which can cause cerebral vasodilation and increased cerebral blood volume. However, this intervention alone is not sufficient to prevent increased intracranial pressure, and suctioning should be done only when necessary and with caution. Therefore, this choice is partially correct but not the best answer.
- B. Grouping several nursing activities to be completed at one time can increase intracranial pressure by stimulating the client and causing fluctuations in blood pressure and heart rate.Therefore, this choice is incorrect.
- C. Flexing the client's neck forward can increase intracranial pressure by impeding venous drainage from the brain and increasing cerebral blood volume. Therefore, this choice is incorrect.
- D. Placing the client in a quiet environment can reduce intracranial pressure by minimizing sensory stimulation and promoting relaxation, which can lower blood pressure and heart rate and decrease cerebral metabolic demand. Therefore, this choice is correct and the best answer.
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