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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. 1500 is 8 hours after 0700, which is too long for the remaining fluid to last.
B. 1200 is 5 hours after 0700, which means there would still be fluid left in the bag at this time.
C. 1100 is exactly 4 hours after 0700, which aligns with our calculation of when the remaining 500 mL will be finished.
D. 0200 is 19 hours after 0700, which is far too late for the IV fluid to last.

A. 1 unit per 1mL B. 10 units per 1 mL C. 100 units per 1 mL D. 1000 units per 1 mL

Correct Answer is C

Explanation

A. If the concentration were 1 unit/mL, then in 250 mL there would only be 250 units total, which is much lower than the provided 25,000 units.
B. If the concentration were 10 units/mL, then in 250 mL there would be 2,500 units total, which is also much lower than the provided 25,000 units.
C. If the concentration were 100 units/mL, then in 250 mL there would be 25,000 units total, which matches the provided information. However, while this seems plausible, it is not the answer we calculated.
D. If the concentration were 1,000 units/mL, then in 250 mL there would be 250,000 units total, which is significantly higher than the 25,000 units provided.

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The nurse should implement which safety considerations for a patient when administering oral iodine radioactive for thyroid cancer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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