While turning a client, the nurse observes that the client's radiation implant has dislodged and is now lying on the linens. Which action by the nurse is appropriate? A)Get the client out of bed and away from the radiation source B)Manually reinsert the implant and notify the health care provider C)Use long-handled forceps to secure the implant in a lead container D)Wrap the implant in the linens and place it in a biohazard bag

Question

Quizplus · Accepted Answer

An internal radiation implant (ie, brachytherapy) emits radiation in or near a tumor to treat certain malignancies. When caring for clients undergoing brachytherapy, the nurse should monitor closely for evidence of implant dislodgment. The dislodged implant emits radiation that can be dangerous to health care workers at the bedside. Long-handled forceps and a lead-lined container should be kept in the room of the client who has a radioactive implant in case of dislodgment. If dislodgment occurs, the nurse should first use long-handled forceps to place the implant in a lead-lined container to contain radiation exposure (Option C). The nurse should also notify the health care provider (radiation oncologist). (Option A) Containing the source quickly is a priority as the implant continues to emit radiation that could be dangerous to the staff coming to evaluate the client and clean the room. (Option B) The nurse should not handle dislodged radiation implants without the use of forceps. Furthermore, device reinsertion should be performed only by the health care provider. (Option D) Wrapping the implant in linens and placing it within a biohazard bag does not reduce radiation exposure. Educational objective: If an internal radiation implant has dislodged, the nurse should use long-handled forceps to place it in a lead-lined container to contain radiation exposure.

While Turning a Client, the Nurse Observes That the Client's