The nurse should implement which safety considerations for a patient when administering oral iodine radioactive for thyroid cancer?
The patient should be placed in isolation to prevent radiation exposure to others.
The patient should avoid consuming any food or fluids for 24 hours prior to the treatment.
The patient should avoid all physical activity for 72 hours after the treatment.
The patient should discontinue all other medications for a week before the treatment.
The Correct Answer is A
A. This is a valid consideration. Patients receiving radioactive iodine may emit radiation, so placing them in a private room can help minimize exposure to family members and staff. Isolation may be more strictly enforced based on the dose administered and hospital protocols.
B. This is generally not required for radioactive iodine treatment. Patients are often advised to have a low-iodine diet in the weeks leading up to treatment, but complete fasting for 24 hours prior is not standard practice. Clear instructions from the healthcare provider should be followed regarding diet.
C. This is typically not a requirement. While some patients may be advised to avoid strenuous activities immediately after treatment, there is no strict guideline stating that all physical activity must be avoided for 72 hours. Patients are usually encouraged to follow normal activities while being mindful of minimizing close contact with others.
D. This statement is generally incorrect. While certain medications may need to be adjusted or stopped before radioactive iodine treatment (for instance, thyroid medications), it’s not a blanket recommendation to stop all medications for a week. Patients should consult with their healthcare provider for personalized advice regarding their specific medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While it is true that some cancers of the reproductive tract can be slow-growing and may respond well to treatment, this statement is overly generalized. It does not specifically address the prognosis or treatment success associated with cervical carcinoma in situ.
B. This statement provides a statistic but may not accurately reflect the prognosis for cervical carcinoma in situ, which is typically higher than 75% when detected and treated early. This response could also imply that the survival rate for invasive cervical cancer is the same, which could lead to misunderstanding.
C. Cervical carcinoma in situ is a pre-invasive stage of cervical cancer, and when it is detected early, the treatment is usually very effective, leading to a high cure rate. This statement reassures the husband that the prognosis is good, given that early detection and treatment are key factors.
D. The term "curable" implies a much better prognosis than a mere 50% survival rate, which may refer to various cancers and does not specifically apply to cervical carcinoma in situ. This response does not provide the husband with the clarity he needs about his wife's condition.
Correct Answer is C
Explanation
A. While it's important to monitor the surgical dressing, changing it too frequently can increase the risk of infection and disrupt healing. Instead, nurses typically assess the dressing regularly and only change it if it's overly saturated or if ordered by a physician. It’s essential to follow specific protocols regarding dressing changes.
B. A While breast prostheses can be an important part of post-mastectomy care for some clients, it is usually recommended that clients wait until they have fully healed and received counseling regarding their options. Immediate encouragement may be premature, as physical and emotional adjustments take time after surgery.
C. This is an appropriate intervention. After axillary lymph node dissection, there is a risk of lymphedema in the affected arm. Placing a limb alert bracelet serves as a reminder to healthcare providers to avoid taking blood pressure or performing venipunctures on the affected arm, thus helping prevent complications.
D. While PCA can be an effective method for managing postoperative pain, the timing and dosage should be based on the specific prescription and the client's individual needs. It’s crucial to educate the client about the PCA device and its use, but the specific interval may vary based on the medication's parameters and the patient's condition.
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