Case Study #1
Patient Profile:
Name: Sarah Thompson
Age: 34
Diagnosis: Hyperthyroidism due to Graves' disease
Treatment: Scheduled to receive an oral dose of unsealed radioactive iodine (1-131)
Clinical Background: Sarah has experienced symptoms of hyperthyroidism for the past 6 months, including weight loss, heat intolerance, palpitations, and anxiety. Her lab results show elevated T3 and T4 levels and suppressed TSH. After unsuccessful management with methimazole, her endocrinologist recommended radioactive iodine therapy.
The nurse is conducting discharge teaching for Sarah about unsealed radioactive isotope therapy. Which of the following should the nurse include in her teaching session for Sarah? (Select 3 options)
"Eat foods high in vitamins such as apples, pears, and oranges."
"Wash your clothing separate from others in the household."
"Do not share utensils, plates, and cups with anyone else."
“You can play with your children for 1 hour each day."
"Flush the toilet at least 3 times after each use"
Correct Answer : B,C,E
A. "Eat foods high in vitamins such as apples, pears, and oranges.": There is no specific dietary restriction related to vitamins following radioactive iodine therapy. The primary focus should be on radiation precautions and post-treatment care, not on specific food choices.
B. "Wash your clothing separate from others in the household.": Sarah should wash her clothes separately from others to minimize exposure to radiation. Radioactive iodine can be excreted in sweat, and separation helps reduce exposure to family members.
C. "Do not share utensils, plates, and cups with anyone else.": After receiving radioactive iodine therapy, Sarah should avoid sharing utensils, plates, and cups to limit potential exposure to radioactive material. This helps reduce the risk of radiation contamination.
D. "You can play with your children for 1 hour each day.": Direct contact with others, especially children, should be minimized after radioactive iodine therapy. Sarah should avoid close contact with children and others to minimize exposure to radiation.
E. "Flush the toilet at least 3 times after each use.": To reduce radiation exposure, Sarah should flush the toilet at least three times after each use to ensure that radioactive iodine is effectively cleared from the system. This helps prevent contamination of shared bathroom areas.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Iodized salt helps prevent the development of goiters in the United States.": Iodine deficiencyis a primary cause of goiter, and in the United States, the widespread use of iodized salthas significantly reduced the incidence of goiters.
B. "It is because of the screening techniques used in the United States.": While screening for thyroid disorders is important, it is not the primary reason for the lower incidence of goiters. The main reason is the availability of iodinethrough iodized salt.
C. "The medications available in the United States decrease goiters.": Medications like thyroid hormone replacements can help manage thyroid disorders, but they do not directly prevent goiters. The reduction in goiters is mainly due to dietary iodine availability.
D. "It is a genetic predisposition rare in North Americans.": While genetic factors can play a role in thyroid disorders, iodine deficiencyis the primary cause of goiters worldwide. Iodine deficiencyis less common in the United States due to iodized salt, not genetic predisposition.
Correct Answer is ["2500"]
Explanation
Calculation:
- Determine the duration of the intake period.
From 0700 to 1900 is 12 hours.
- Convert all fluid intakes to milliliters (mL) using the standard conversions (1 oz = 30 mL, 1 cc = 1 mL, and 1 oz ice chips = 0.5 oz liquid).
8 oz orange juice: 8oz×30mL/oz=240mL
10 cc flush: 10cc×1mL/cc=10mL
8 oz coffee: 8oz×30mL/oz=240mL
1 oz of cream: 1oz×30mL/oz=30mL
12 oz soda: 12oz×30mL/oz=360mL
4 oz chicken broth: 4oz×30mL/oz=120mL
6 oz soda: 6oz×30mL/oz=180mL
8 oz ice chips: 8oz×0.5(conversionfactorforicechips)×30mL/oz=120mL
100 cc/hr IV infusion for 12 hours: 100cc/hr×12hr=1200mL
- Sum all converted fluid intakes.
Total intake (mL) = 240+10+240+30+360+120+180+120+1200
= 2500mL
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