Practice Quiz

NCLEX-RN

Category - Physiological

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A nurse is developing a nursing care plan for a client with an internal radiation implant. Which nursing action should not be included in the plan of care?
  1. Keep all bed linens in the room until the source is removed.
  2. Allow the client’s pregnant wife and 5-year-old boy to spend no more than 30 minutes each day with the client.
  3. Keep a lead-lined container and a pair of long-handled forceps in one corner of the client’s room.
  4. Nursing assignments are rotated daily.
Explanation
Answer: B - Children younger than 18 years old and pregnant women should not visit clients with internal radiation implants. The linens are kept in the room until the source is removed. A dislodged internal radiation source is always picked up with tongs, and placed in a lead-lined container; therefore, these items must be in one corner of the client’s room. Rotation of staff is necessary to keep the radiation doses within the safe limits prescribed.
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