During a linen change, the nurse discovers the client's radioactive implant is in the bed. Which of the following should the nurse implement?
1. Evacuate the client from the room quickly and close the door.
2. Notify the physician and the radiation safety officer immediately.
3. Determine where the implant belongs and replace it immediately.
4. Pick up the implant with tongs and place it in a lead-lined container.
2
2. The nurse's goals for a dislodged radioactive implant include preventing injury and maintaining client and personal safety. Improperly located, a radioactive source can cause tissue damage or excessive exposure for the nurse. The nurse notifies the radiologist and the radiation safety officer to maintain continuity of the client's therapy and to contain the radiation source, respectively.
1. A dislodged radioactive implant poses no more risk to the client, generally, than when it is implanted; so, evacuating the client is unnecessary. Besides, evacuating the client is not safe for other clients and staff because the client is potentially radioactive. Closing the door is indicated to help others maintain a safe distance from the radiation source.
3 and 4. The radiation officer contains radioactive implants in lead-lined vessels that prevent the escape of radioactive rays and manipulates radioactive material with special instruments and lead gloves. Most nurses do not receive the training for these actions.
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Which of the following do terrorists hope to accomplish by causing mass destruction and violence toward innocent persons going about their daily lives?
a. Create fear to intimidate and coerce to accomplish a political goal b. Encourage others with similar beliefs to join them and their cause c. Obtain publicity for themselves and their goals d. Obtain increased negotiating power and respect
Anna is a small, frail 89-year-old woman. She resides in a nursing home and receives regular nursing care. One afternoon Anna did not go to the lunch room for a mid-afternoon tea and cookie break
When a nurse noticed this, he went to Anna's room to see how she was feeling. Anna was lying down, and told him she felt tired and very weak. The nurse asked her some more questions about her health, and Anna seemed confused when trying to answer him. He decided to take Anna's temperature and discovered it was 1.6 °C above her baseline temperature of 36.3 °C. He took her pulse and noted her heart rate was elevated. He offered Anna some cold water and went to contact the physician. Why would Anna's temperature of 37.9 °C be of particular concern to the nurse? How is the physiological mechanism for the production of a fever in the elderly different from that of adults? What disorder of acid-base imbalance will Anna be at risk for developing? Why is it harmful to cool a patient with pyrexia too quickly?
Which scenarios contribute to effective handoff communication at change of shift? (Select all that apply.)
a. The nephrology consultant physician is making rounds and asks you to update her on the patient's status and assist in placing a central line for hemodialysis. b. The noise level is high because twice as many staff members are present and everyone is giving report in the nurse's station. c. The unit has decided to use a standardized checklist/tool for change-of-shift reports and patient transfers. d. You and the oncoming nurse conduct a standardized report at the patient's bedside and review key assessment findings.
After being discharged from the hospital after undergoing cardiothoracic surgery, the client asks the nurse when he can resume sexual activity. What is the best response by the nurse?
A) "I can't believe you are worried about that so soon after your surgery." B) "You won't be able to resume sexual activity until your 6-month checkup with the surgeon." C) "In about 2 to 4 weeks if you are able to climb stairs without difficulty breathing or chest pain." D) "You may have a difficult time resuming sexual activities after this surgery."