Author Question: A client is being treated with internal radiation (brachytherapy). The nurse will most need to ... (Read 33 times)

Alygatorr01285 · **on:** Jul 22, 2018

A client is being treated with internal radiation (brachytherapy). The nurse will most need to reinforce instructions about:

1. Allowable time, distance, and shielding.
2. Wearing a mask and goggles in the company of strangers.
3. Avoiding travel in a car with others.
4. The need to avoid exposure to the sun.

Question 2

The nurse is initiating an IV of 5 Dextrose and 0.45 NS to infuse at 60 mL/hour for 24 hours on a client who has never had an IV before. Which of the following sites would be the nurse's first choice?

1. Digital vein
2. Metacarpal vein
3. Antecubital cephalic vein
4. Great saphenous vein

kaylee05 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1
Rationale: The client with indwelling internal radiation must be instructed on the time he spends with another person, the distance between the client and the other person, and what type of shield of absorbing material is placed between the radiation source and the other person.

Answer to Question 2

2
Rationale: When choosing a vein for short-term therapy, the metacarpal vein would be the best choice because it is the most distal. The digital, antecubital cephalic, and great saphenous veins are choices of last resort.