/*! This file is auto-generated */ .wp-block-button__link{color:#fff;background-color:#32373c;border-radius:9999px;box-shadow:none;text-decoration:none;padding:calc(.667em + 2px) calc(1.333em + 2px);font-size:1.125em}.wp-block-file__button{background:#32373c;color:#fff;text-decoration:none} Problem 93 The nurse is making assignments ... [FREE SOLUTION] | 91Ó°ÊÓ

91Ó°ÊÓ

The nurse is making assignments for the day. Which client should be assigned to the pregnant nurse? A. The client receiving linear accelerator radiation therapy for lung cancer B. The client with a radium implant for cervical cancer C. The client who has just been administered soluble brachytherapy for thyroid cancer D. The client who returned from placement of iridium seeds for prostate cancer

Short Answer

Expert verified
Answer: The client who has just been administered soluble brachytherapy for thyroid cancer.

Step by step solution

01

Evaluate the potential radiation exposure for each client

The pregnant nurse should avoid being exposed to radiation since it might have harmful effects on her unborn child. Therefore, it is essential to evaluate each client's treatment and the potential radiation exposure for the nurse. A. The client receiving linear accelerator radiation therapy for lung cancer: This treatment involves using high-energy x-rays to kill cancer cells. It might expose the nurse to radiation if she stays close to the client during the procedure. B. The client with a radium implant for cervical cancer: Radium implants emit radiation, and it is possible that the pregnant nurse might be exposed to radiation while caring for this client. C. The client who has just been administered soluble brachytherapy for thyroid cancer: In this treatment, radioactive substances are given as a solution, which is then absorbed by the tumor. The radioactive material is inside the patient's body, and the nurse caring for this patient might be at some risk of radiation exposure. D. The client who returned from placement of iridium seeds for prostate cancer: Iridium seeds are small radioactive pellets that emit radiation inside the patient's body. The pregnant nurse might be at risk of radiation exposure while caring for this patient.
02

Determine the most suitable client for the pregnant nurse

As we analyzed the radiation exposure for each client, we notice that every client has some form of radiation treatment. However, we should choose the client whose treatment has the least potential for radiation exposure. The least harmful option for the pregnant nurse would be to take care of the client who receives: C. The client who has just been administered soluble brachytherapy for thyroid cancer This is because the radioactive material is administered as a solution and absorbed by the tumor, which is inside the patient's body. Although there is still some risk of radiation exposure, it is generally lower compared to the other treatment options, making this client the most suitable assignment for the pregnant nurse.

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Over 30 million students worldwide already upgrade their learning with 91Ó°ÊÓ!

Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Radiation Safety in Nursing
Understanding radiation safety is crucial in the nursing profession, especially for nurses who work around therapeutic radioactive materials. Radiation protection principles include time, distance, and shielding. Nurses should spend the least amount of necessary time exposed, maintain the maximum possible distance from radiation sources, and use appropriate shielding materials whenever possible.

For instance, in the scenario provided, evaluating the type and extent of radiation exposure is paramount. Nurses must be equipped with personal dosimeters to monitor exposure levels and should follow the facility's safety protocols. These protocols are designed to minimize the risk of harmful radiation exposure and protect the healthcare provider. Furthermore, safety measures often include lead aprons or barriers when they are in proximity to patients undergoing certain types of radiation therapy.

Radiation safety training is a continuous process for nurses, involving understanding the different types of radiation therapies such as external beam radiation therapy or brachytherapy, and knowing which require heightened precautions. This knowledge ensures that nurses can safeguard their health and the well-being of their patients.
Pregnant Nurse Assignments
Pregnant nurses face unique workplace hazards, particularly when it comes to assignments that may expose them to radiation. Facilities typically have policies that aim to minimize the occupational exposure of pregnant staff members to protect both the mother and the developing fetus.

When assessing assignments, like in the given exercise, it's important to evaluate the nature and duration of radiation exposure. Pregnant nurses should avoid assignments that involve patients undergoing treatments with high levels of radiation or where radiation sources are external and unshielded.

The recommended practice is to assign pregnant nurses to patients whose treatments involve the lowest risk of exposure, which often means considering treatments with internal radiation sources that are less likely to emit significant levels of radiation into the environment. Ideally, pregnant nurses should consult with their supervisors and occupational health services to ensure their assignments are safe and that they fully understand the necessary precautions and rationale behind decision-making regarding their duties.
Radiation Therapy in Cancer Treatment
Radiation therapy is a common treatment modality for cancer, utilizing high-energy particles or waves to destroy or damage cancer cells. The goal is to target the cancer cells while sparing as much healthy surrounding tissue as possible. There are several types of radiation therapy, including external beam radiation therapy, which directs radiation from outside the body, and brachytherapy, where a radioactive source is placed inside or near the tumor.

In external beam radiation therapy, like the linear accelerator used for lung cancer treatment, the patient is exposed to radiation beams for several minutes per session, but the radiation does not remain with the patient after the session. On the other hand, brachytherapy involves the temporary or permanent placement of radioactive sources within the patient, as with the soluble brachytherapy for thyroid cancer or the implant of iridium seeds for prostate cancer.

Nurses must understand the various types of radiation therapy to provide proper care to cancer patients. They should be knowledgeable about the safety protocols and required equipment, such as lead shields, to protect themselves and other patients from unnecessary exposure. Education on radiation therapy is crucial for nurses to competently and confidently participate in the treatment team and ensure optimal patient care.

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

The client is admitted to the postpartum unit with an order to continue the infusion of Pitocin. Which finding indicates that the Pitocin is having the desired effect? A. The fundus is deviated to the left. B. The fundus is firm and in the midline. C. The fundus is boggy. D. The fundus is two finger breadths below the umbilicus.

When assessing a client for risk of hyperphosphatemia, which piece of information is most important for the nurse to obtain? A. A history of radiation treatment in the neck region B. A history of recent orthopedic surgery C. A history of minimal physical activity D. A history of the client's food intake

The nurse is teaching a group of new graduates about the safety needs of the client receiving chemotherapy. Before administering chemotherapy, the nurse should: A. Administer a bolus of IV fluid B. Administer pain medication C. Administer an antiemetic D. Allow the patient a chance to eat

The client arrives in the emergency room with a "bull's eye" rash. Which question would be most appropriate for the nurse to ask the client? A. "Have you found any ticks on your body?" B. "Have you had any nausea in the last 24 hours?" C. "Have you been outside the country in the last 6 months?" D. "Have you had any fever for the past few days?"

The licensed practical nurse is observing a graduate nurse as she assesses the central venous pressure. Which observation would indicate that the graduate needs further teaching? A. The graduate places the client in a supine position to read the manometer. B. The graduate turns the stop-cock to the off position from the IV fluid to the client. C. The graduate instructs the client to perform the Valsalva maneuver during the CVP reading. D. The graduate notes the level at the top of the meniscus.

See all solutions

Recommended explanations on Biology Textbooks

View all explanations

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.