NCLEX-RN

Category - Physiological

A nurse is caring for a client undergoing intracavitary radiation therapy. The nurse knows that the least appropriate action is which of the following?
  1. Use of an indwelling catheter
  2. Strict bed rest
  3. Head of bed is elevated to no more than 10 to 15 degrees
  4. High-Fowler’s position when in bed
Explanation
Answer: D - The client should be on strict bed rest during intracavitary radiation treatment, with the head of the bed elevated to no more than 15-degrees to prevent the displacement of the radiation source. An indwelling catheter is used to prevent bladder distension, which can alter the position of tissues which correspond to the radiation source.
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