When working with a client who has a radioactive implant, the ...

[piesebel]

When working with a client who has a radioactive implant, the nurse will:
 
  A. Request to care for the client over several days to maintain sense of trust
  B. Allow the family to visit as often as they would like
  C. Wear a dosimeter at all times when in contact with the client
  D. Assist the client up to the chair 3 to 4 times a day

Question 2

The nurse knows that an advantage of intraspinal analgesia is the:
 
  a. smaller doses of epidural than intrathecal medication.
  b. lack of significant patient complications.
  c. systemic distribution of morphine faster than fentanyl.
  d. ability to achieve appropriate analgesia with smaller dosages.

[Liamb2179]

Answer to Question 1

C
C. When caring for clients receiving radiation therapy or who have radioactive implants, wear a radiation exposure dosimeter. Dosimeters track the cumulative exposure to radiation.
A. Rotate care providers during client's length of stay on unit. This minimizes time any one staff member is in the presence of a radioactive source.
B. Visitors are usually limited to 30 minutes a day and must stay 6 feet away from radiation source.
D. Client undergoing radiation is often on bed rest and limited in activities that can be initiated. Social isolation can cause anxiety, loneliness, and depression.

Answer to Question 2

D
Because opioids are delivered close to their site of action, the central nervous system (CNS), they have greater bioavailability and thus require much smaller doses to achieve adequate pain relief. Epidural and intrathecal doses are not equivalent. Intrathecal doses are much smaller than epidural doses. As an example, the epidural dose of morphine is 10 to 20 times greater than that required for an intrathecal dose. The catheter poses a threat to patient safety because of its anatomical location, its potential for migration through the dura, and its proximity to spinal nerves and vessels. Migration of an epidural catheter into the subarachnoid space can produce medication levels too high for intrathecal use. Fentanyl and sufentanil are hydrolipid, which causes them to have a quicker onset and a shorter duration of action (2 hours). Morphine and hydromorphone are hydrophilic, resulting in a longer onset and a longer duration of action (up to 24 hours with a single bolus dose).

[piesebel]

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[Liamb2179]

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