When caring for a patient who has a radium implant for treatment ...

[berenicecastro]

When caring for a patient who has a radium implant for treatment of cancer of the cervix, the nurse will
 
  a. assist the patient to ambulate every 2 to 3 hours.
  b. use gloves and gown when changing the patient's bed.
  c. flush the toilet several times right after the patient voids.
  d. encourage the patient to discuss needs or concerns by telephone.

Question 2

A 56-year-old woman is concerned about having a moderate amount of vaginal bleeding after 4 years of menopause. The nurse will anticipate teaching the patient about
 
  a. endometrial biopsy.
  b. endometrial ablation.
  c. uterine balloon therapy.
  d. dilation and curettage (D&C).

[meltdown117]

Answer to Question 1

ANS: D
The nurse should spend minimal time in the patient's room to avoid exposure to radiation. The patient and nurse can have longer conversations by telephone between the patient room and nursing station. To prevent displacement of the implant, absolute bed rest is required. Wearing of gloves and gown when changing linens, and flushing the toilet several times are not necessary because the isotope is confined to the implant.

Answer to Question 2

ANS: A
A postmenopausal woman with vaginal bleeding should be evaluated for endometrial cancer, and endometrial biopsy is the primary test for endometrial cancer. D&C will be needed only if the biopsy does not provide sufficient information to make a diagnosis. Endometrial ablation and balloon therapy are used to treat menorrhagia, which is unlikely in this patient.

[berenicecastro]

Excellent

[steff9894]

TYSM