The nurse is providing discharge instructions for a female client after receiving radioactive iodine treatment. Which of the following information should the nurse include in the teaching?
"You will immediately start thyroid replacement therapy after radioactive iodine treatment."
"Your partner can feed breast milk to your baby if you pump it."
"You can try to get pregnant 2 months after the treatment."
"You need to avoid close contact with others until you the doctor determines you are no longer emitting radiation from your body."
The Correct Answer is D
A. While many patients who receive radioactive iodine treatment (RAI) for hyperthyroidism may require thyroid replacement therapy afterward, this is not always immediate. The body’s response to the treatment varies, and thyroid function will need to be monitored. The initiation of thyroid replacement therapy depends on the individual's thyroid levels after treatment.
B. Radioactive iodine is contraindicated during breastfeeding because the iodine can pass into the breast milk, potentially exposing the infant to radiation. Mothers are usually advised to stop breastfeeding and to pump and discard milk for a period after the treatment (usually several weeks).
C. The general recommendation is that women should wait at least 6 months after receiving radioactive iodine treatment before trying to become pregnant, as the radiation could potentially affect fetal development during the first few months following the treatment.
D. After receiving radioactive iodine treatment, patients should limit contact with others (especially pregnant women and young children) for a period of time to reduce the risk of radiation exposure to others. This period varies based on the dose of radioactive iodine used, but patients are typically advised to follow specific precautions until their radiation levels have decreased to a safe level.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
determine how many capsules the nurse should administer for 1 dose, we first need to divide the total daily dose by the number of doses:
1,800 mg ÷ 3 doses = 600 mg per dose.
Now, since each capsule contains 300 mg, we divide the dose by the amount per capsule:
600 mg ÷ 300 mg per capsule = 2 capsules.
Correct Answer is C
Explanation
A. Chocolate is actually a common trigger for migraines in some people, due to its caffeine content and the presence of other compounds that can provoke migraines. It’s better to avoid chocolate if it is a known trigger.
B. Oral contraceptives can sometimes trigger migraines in women, especially those with a history of migraines. The hormonal fluctuations associated with oral contraceptive use can be a potential trigger for some individuals.
C. Maintaining a regular sleep schedule is an important lifestyle change for migraine prevention. Irregular sleep patterns or poor-quality sleep are common triggers for migraines. A consistent sleep routine helps regulate the body’s circadian rhythms and may help reduce migraine frequency.
D. Bright lighting can actually trigger migraines in some people. It’s better to avoid glare and use softer, dimmer lighting, especially in environments where you spend a lot of time.
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