A client has an insertion of an internal cervical radiation implant. When providing care, the nurse discovers the implant has come out. The MOST appropriate action for the nurse to take immediately is to:

Question

a. call the physician
b. pick up the implant with gloved hands and flush it down the toilet
c. reinsert the implant into the vagina imme-diately
d. pick up the implant with long-handled forceps and place into a lead container

Answer 1

D
In internal radiation, radioactive isotopes are placed within the body. The role of the nurse when internal radiation is used involves providing for personal and client safety by following established protocols for the specific type of radiation source. The body fluids of a client receiving radiation from sealed sources are not radioactive; however, the nurse must minimize personal exposure to radiation by limiting the time exposed to the radiation source, maintaining adequate distance from the radiation source, and using protective shielding. Unsealed radioisotopes such as iodine are excreted in urine and stool; the nurse follows agency policy for personal protection and never touches the item directly.