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Question : A 56-year-old female client is receiving
intracavitary radiation via a radium implant. Which nurse
should be assigned to care for this client?
(a) The nurse who is caring for another client receiving
intracavitary radiation.
(b) A nurse with Marfan's syndrome who is postmenopausal.
(c) A nurse with oncology experience who may be pregnant.
(d) The nurse who is caring for another client who has
Clostridium difficile.
CORRECT ANSWER: B. A nurse with Marfan's syndrome
who is postmenopausal.
RATIONALE:
A client receiving intracavity radiation poses a radiation
hazard as long as the intracavity radiation source is in place.
A nurse's ability to care of this client is not affected by
Marfan's syndrome (B), which is a hereditary disorder of
connective tissues, bones, muscles, ligaments and skeletal
structures. The goal is to limit any one staff member's
exposure to the calculated time span based on the half-life of
radium, such as the number of minutes at the bedside per
day, so (A) should not be assigned. (C) should not be
exposed to the radiation due to the possible effect on the
fetus. A radiation exposure decreases the immune response in
the client who should not be exposed to the potential
inadvertent transmission of an infectious organism (D).
Question : A 56-year-old female client is receiving
intracavitary radiation via a radium implant. Which nurse
should be assigned to care for this client?
(a) The nurse who is caring for another client receiving
intracavitary radiation.
(b) A nurse with Marfan's syndrome who is postmenopausal.
(c) A nurse with oncology experience who may be pregnant.
(d) The nurse who is caring for another client who has
Clostridium difficile.
CORRECT ANSWER: B. A nurse with Marfan's syndrome
who is postmenopausal.
RATIONALE:
A client receiving intracavity radiation poses a radiation
hazard as long as the intracavity radiation source is in place.
A nurse's ability to care of this client is not affected by
Marfan's syndrome (B), which is a hereditary disorder of
connective tissues, bones, muscles, ligaments and skeletal
structures. The goal is to limit any one staff member's
exposure to the calculated time span based on the half-life of
radium, such as the number of minutes at the bedside per
day, so (A) should not be assigned. (C) should not be
exposed to the radiation due to the possible effect on the
fetus. A radiation exposure decreases the immune response in
the client who should not be exposed to the potential
inadvertent transmission of an infectious organism (D).
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