RN Nursing · Cancer Treatment — Radiation Therapy · Practice question
A nurse is planning care for a client who is undergoing brachytherapy with a low-dose radiation implant. Which of the following interventions should the nurse add to the client's plan of care?
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Instruct the client's family members to stay 1 m (3 ft) away from the client.
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Limit each of the client's visitors to 2 hr per day.
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Remove the linen from the client's room after each bed change.
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✓
Keep the client in bed during treatment
Answer & explanation
Correct: Keep the client in bed during treatment
Brachytherapy involves placing a radioactive implant directly into or near a tumor. With a low-dose-rate internal radiation implant, the client themselves is a source of radiation for as long as the implant is in place. Keeping the client in bed during treatment is the appropriate intervention to prevent accidental dislodgement of the implant and to limit the client's movement, which could cause the implant to shift position and inadvertently expose others. Radiation safety for internal implants follows the principles of time, distance, and shielding. Visitors and family members should remain at least 6 feet (approximately 1.8 meters) away from the client — not 1 meter as stated — and contact with the client should be limited. Limiting visitors to 2 hours per day is not the standard; the recommendation is typically to limit individual visitor time to 30 minutes per day to reduce radiation exposure. Linen from the client's room must be saved and checked by radiation safety personnel before removal, because a dislodged implant could be present in the linens — routinely removing linen without checking it first is unsafe and does not represent standard radiation precaution protocol. Keeping the client in bed during treatment is the correct intervention as it maintains implant placement and protects others from unnecessary radiation exposure.
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