A clinical nurse specialist is preparing a plan of care for a patient who will have an insertion of an internal cervical radiation implant. Which nursing care plan should be included in caring for this patient?
  1. Put a vivid sign on the door to indicate that visiting is limited to one hour
  2. Assign one primary nurse to care for the patient
  3. Place the patient in a private room at the endmost part of the hallway
  4. Place a linen bag outside the patient’s room for discarding linens after morning care
Explanation
Answer - C - A nursing care plan that should be included in caring for this patient is to place the patient in a private room at the endmost part of the hallway. This action provides less of a chance of exposure of radiation to others. The patient’s room should be marked with appropriate signs that indicate the presence of radiation. Visitors should be limited to thirty-minute visits. Nurses assigned to this patient should be rotated so that one nurse is not consistently caring for the patient and exposing him or herself to excess amounts of radiation. All linens should be kept in the patient’s room until the implant is removed in case the implant has dislodged and needs to be located.
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