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Question 261 / 1 ptsA nurse receives a telephone call from the admissions office and is told that a client scheduled for an internal radiation implant will be admitted to the nursing unit. Which of the following precautions does the nurse include in the client’s plan of care?
Placing used linen in double bags and sending a bag to the laundry room every eveningAllowing the client to ambulate in the hall only once a dayPlacing the client in a semiprivate room at the end of a hallwayWearing gloves when emptying the client’s bedpanRationale: A primary goal of care for the client with an internal radiation implant is to prevent exposure of others to radiation. Therefore, a client with an internal radiation implant is required to remain in a private room to prevent accidental exposure of other clients, staff, and visitors to radiation. For this reason, a private room with a private bath is essential. All client linens should be kept in the client’s room until the implant is removed. Wearing gloves when emptying the client’s bedpan is the only appropriate intervention, of those provided, for a client with an internal radiation implant.Test-Taking Strategy: Use the process of elimination. Eliminate the option that includes the closed-ended word “only.” Also eliminate the option involving the use of a semiprivate room. To select from the remaining options, use your knowledge of standard precautions and precautions for a client with an internal radiation implant. This will direct you to the correct option. Review radiation safety principles if you had difficulty with this question.Reference: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing:Patient-centered collaborative care (6th ed., p. 420). St. Louis: Saunders.Cognitive Ability: ApplyingClient Needs: Safe and Effective Care EnvironmentIntegrated Process: Nursing Process/PlanningContent Area: Safety
Question 271 / 1 ptsA nursing instructor is observing a nursing student who is practicing the use of standard precautions in the nursing laboratory. Which of the following observations by the instructor indicates a need for further teaching?