NCLEX-RN

Category - Physiological

A nurse is developing a care plan for a client with bladder cancer who is about to receive a radiation implant. The most appropriate action of the nurse is to:
  1. Collect the client’s urine every 2 hours and flush it all down in the toilet
  2. Limit his intake of fluids
  3. Place the client in a room with another noninfectious client
  4. Monitor for the signs and symptoms of cystitis
Explanation
Answer: D - Cystitis, or inflammation of the urinary bladder, is a common complication of radiation implant treatment. Radiation can cause vascular alterations that gradually deplete adequate blood supply to the irradiated tissue. Inadequate blood supply results in epithelial damages that further expose the cells to the caustic effects of urine. The urine is considered a biohazard. It should be sent to the radioisotope laboratory for monitoring. Fluid intake is encouraged to flush the bladder. The client must be placed in a private room.
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