A nurse is teaching a client who is scheduled to receive radioactive iodine therapy for treatment of hyperthyroidism. Which of the following instructions should the nurse include in the teaching?

Remain 0.3 m (1 ft) away from children.

Limit the time spent around women who are pregnant to 10 min daily.

Use disposable utensils for meals.

Use an absorbent pad if incontinent.

Answer and Explanation

The Correct Answer is C

Rationale:
A. Remain 0.3 m (1 ft) away from children: Clients receiving radioactive iodine therapy are advised to maintain a greater distance—typically 1 to 2 meters (3 to 6 feet)—from children and pregnant women for several days to limit radiation exposure.

B. Limit the time spent around women who are pregnant to 10 min daily: Clients should actually avoid close contact with pregnant women entirely for several days post-treatment, not merely limit contact time, to prevent radiation exposure to the fetus.

C. Use disposable utensils for meals: After radioactive iodine therapy, clients may excrete small amounts of radiation in saliva and other bodily fluids. Using disposable utensils helps prevent contaminating shared household items and protects others from exposure.

D. Use an absorbent pad if incontinent: While using precautions to manage bodily fluids is important, this instruction is relevant only if the client is incontinent. It is not a universal teaching point for all clients undergoing radioactive iodine therapy.

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Correct Answer is B

Explanation

Rationale:
A. "You will drink a contrast solution 30 minutes prior to the procedure.": Contrast solutions are used for imaging studies like CT scans, not for bronchoscopies. Bronchoscopy is a visual examination of the airways and does not require contrast ingestion beforehand.

B. "You will not be able to eat or drink after the procedure until you are able to cough.": After a bronchoscopy, the gag and cough reflexes are temporarily suppressed due to local anesthesia. Eating or drinking before these reflexes return increases the risk of aspiration, so this is an essential safety measure.

C. "The purpose of this procedure is to remove excess fluid from your lungs.": Bronchoscopy is primarily used for visualizing the airways, obtaining tissue samples, or removing obstructions. Thoracentesis, not bronchoscopy, is the procedure used to remove fluid from the pleural space.

D. "You will need to lie on your back for 4 to 6 hours following the procedure.": Prolonged supine positioning is not necessary after bronchoscopy. Clients are typically monitored in a semi-Fowler’s position until sedation wears off and airway protective reflexes return.

A. "Take a dose of loperamide each morning." B. "Increase your fluid intake to 1,000 milliliters per day." C. "Take psyllium in the evening." D. "Consume a diet that is low in protein."

Correct Answer is C

Explanation

Rationale:
A. "Take a dose of loperamide each morning.": Loperamide is an antidiarrheal medication and is not appropriate for clients with constipation-predominant IBS (IBS-C). Using loperamide in these clients could worsen constipation.

B. "Increase your fluid intake to 1,000 milliliters per day.": A daily fluid intake of 1,000 milliliters (1 liter) is typically insufficient. Adequate hydration is essential for managing constipation, and clients are generally encouraged to consume at least 6 to 8 glasses (approximately 1.5 to 2 liters) of water daily to help soften stools and promote regular bowel movements.

C. "Take psyllium in the evening.": Psyllium is a soluble fiber supplement that can help alleviate constipation by increasing stool bulk and promoting bowel movements. Taking psyllium in the evening is appropriate, but it is crucial to take it with a full glass of water and maintain adequate hydration throughout the day to prevent potential side effects like bloating or gas.

D. "Consume a diet that is low in protein.": There is no specific recommendation for a low-protein diet in managing IBS-C. Dietary modifications for IBS-C typically focus on increasing soluble fiber intake and reducing fermentable carbohydrates (FODMAPs) rather than altering protein consumption.

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A nurse is teaching a client who is scheduled to receive radioactive iodine therapy for treatment of hyperthyroidism. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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