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, Cancer treatment options: Safety precautions for a sealed radiation implant - correct ans:◯ Nursing
Actions
■ Place the client in a private room away from other clients when possible.
■ Place appropriate sign on the door warning of the radiation source.
■ Wear a dosimeter film badge that records personal amount of radiation exposure.
■ Limit visitors to 30-min visits, and have visitors maintain a distance of 6 ft from the source.
■ Visitors and health care personnel who are pregnant or under the age of 16 should not come
into contact with the client or radiation source.
■ Keep a lead container in the client's room if the delivery method could allow spontaneous loss
of radioactive material. Tongs are available for placing radioactive material into this container.
■ Precautions listed above should be carried out at home if the client is discharged
during therapy.
◯ Client Education
■ Inform client of the need to remain in an indicated position to prevent dislodgement of the
radiation implant.
■ Instruct the client to call the nurse for assistance with elimination.
■ Instruct client and family about radiation precautions needed in the health care and
home environments.
Fractures and immobilization: Assessment of a new cast - correct ans:Neurovascular assessment is
essential throughout immobilization. Assessments are performed
every hour for the first 24 hr and every 1 to 4 hr thereafter following initial trauma to monitor
neurovascular compromise related to edema and/or the immobilization device.
Nursing Actions
☐ Monitor neurovascular status and assess pain.
☐ Apply ice for 24 to 48 hr.
☐ Handle a plaster cast with the palms, not fingertips, until the cast is dry to prevent denting
the cast.