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","C","E"]

Explanation

Rationale:
A. Wear a protective gown when suctioning the client's airway: While wearing appropriate personal protective equipment protects the nurse from contamination, it does not directly reduce the client’s risk for ventilator-associated pneumonia.

B. Monitor for oral secretions every 2 hr: Regular assessment for and removal of oral secretions reduces the risk of aspiration, which is a key contributor to the development of ventilator-associated pneumonia.

C. Provide oral care every 2 hr: Frequent oral hygiene decreases the colonization of bacteria in the oropharynx, thereby reducing the risk of these organisms being aspirated into the lungs and causing infection.

D. Maintain the client in a supine position: Keeping the client supine increases the risk of aspiration. To prevent VAP, the head of the bed should typically be elevated 30 to 45 degrees unless contraindicated.

E. Assess the client daily for readiness of extubation: Daily evaluation for weaning from the ventilator reduces the duration of mechanical ventilation, which directly lowers the risk of developing ventilator-associated pneumonia.

A. A pearly, waxy nodule B. An irregular border on a variegated-colored lesion C. A firm, nodular, crusty, or ulcerated lesion D. A weeping vesicle

Correct Answer is A

Explanation

Rationale:
A. A pearly, waxy nodule: This is the classic presentation of basal cell carcinoma. These lesions often appear as small, shiny, flesh-colored or pink nodules with a translucent or pearly surface and may have visible blood vessels. They are slow-growing and rarely metastasize.

B. An irregular border on a variegated-colored lesion: This description is more indicative of malignant melanoma, which often appears as an asymmetric lesion with uneven borders and multiple colors, including black, brown, red, or white.

C. A firm, nodular, crusty, or ulcerated lesion: These characteristics are more commonly associated with squamous cell carcinoma, which tends to be more aggressive and can metastasize if untreated.

D. A weeping vesicle: This finding is consistent with inflammatory skin conditions such as contact dermatitis or eczema, not basal cell carcinoma. These vesicles are usually associated with allergic or irritant reactions.

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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

A nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse implement to decrease the client's risk for ventilator-associated pneumonia (VAP)? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse should identify which of the following lesion characteristics on the client's skin?

Correct Answer is A

Explanation

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