Showing posts with label Effective Care Environment. Show all posts

which observation by the charge nurse would indicate that the nurse who cared for this client performed an unsafe action in the use of the restraint?

Dr. Smith has written an order for a vest restraint to be applied on a client from 10:00 pm to 7:00 am because the client becomes disoriented during the night and is at risk for falls

At 11:00 pm, the charge nurse makes rounds on all of the clients in the unit. When assessing the client with vest restraint, which observation by the charge nurse would indicate that the nurse who cared for this client performed an unsafe action in the use of the restraint?

A. A safety knot was used to secure the restraint
B. The client’s record indicates that the restraint will be released every 2 hours
C. The restraint was applied tightly
D. The call light was placed within reach of the client.

Answer C.

Restraints should never be applied tightly because that could impair circulation.
The restraint should be applied securely (not tightly) to prevent the client from slipping through the restraint and endangering himself or herself.
A safety knot should be used because it can easily be released in an emergency.
Restraints, especially limb restraints, must be released every 2 hours (or per agency policy) to inspect the skin for abnormalities.
The call light must always be within the client’s reach in case the client needs assistance.

The correct answer is C. The restraint was applied tightly.

Here's a breakdown of why:

Safety knot: A safety knot is a specific type of knot used to secure restraints safely, preventing the client from becoming entangled or injured.
Releasing the restraint: Releasing the restraint every 2 hours is a standard practice to ensure the client's circulation and comfort.
Call light placement: Placing the call light within reach of the client is important for their safety and communication needs.

Tight application of a restraint is a serious safety hazard and can lead to:

Circulation problems: Tight restraints can restrict blood flow, leading to tissue damage or necrosis.
Skin breakdown: Prolonged pressure from a tight restraint can cause skin breakdown and ulcers.
Increased anxiety: Tight restraints can increase the client's anxiety and distress, potentially worsening their condition.

Therefore, the charge nurse's observation of a tightly applied restraint indicates an unsafe action that needs to be addressed immediately. The nurse who applied the restraint should be informed of the issue and instructed to loosen the restraint to ensure the client's safety and comfort.

Restraint Application in Healthcare:

Understanding Restraints:

Purpose: Restraints are used as a last resort to prevent patients from harming themselves or others. They should only be applied when other interventions have failed and the risk of harm is significant.
Types of Restraints: There are various types of restraints, including physical restraints (e.g., limb restraints, vest restraints) and chemical restraints (e.g., medications).

Safe Restraint Application:

Assessment: Before applying a restraint, healthcare providers must conduct a thorough assessment to determine the need for restraint and the most appropriate type.
Least Restrictive Means: The least restrictive means of restraint should always be used. This means considering alternatives to physical restraints, such as environmental modifications or behavioral interventions.
Proper Application: Restraints should be applied correctly, using appropriate techniques and knots to ensure patient safety and comfort.
Frequent Monitoring: Patients who are restrained must be monitored closely to assess their physical and emotional well-being. Restraints should be released periodically to allow for range of motion, circulation, and comfort.
Documentation: The application and release of restraints must be documented in the patient's medical record, including the reason for restraint, the type of restraint used, and the monitoring schedule.

Risks Associated with Restraints:

Physical Harm: Improperly applied restraints can lead to physical harm, such as skin breakdown, pressure ulcers, and circulatory problems.
Psychological Distress: Restraints can cause psychological distress, including anxiety, agitation, and a sense of loss of control.
Increased Risk of Falls: Restraints can paradoxically increase the risk of falls, as patients may struggle against them or become disoriented.

Alternatives to Restraints:

Environmental Modifications: Modifying the environment can help to reduce the risk of falls and agitation. This may include removing hazards, providing adequate lighting, and ensuring the patient's room is clutter-free.
Behavioral Interventions: Behavioral interventions, such as redirection, calming techniques, and therapeutic activities, can help to manage agitated behavior without resorting to restraints.
Medication Review: Reassessing the patient's medication regimen can help to identify and address any underlying medical conditions or medication side effects that may be contributing to agitation.

Conclusion:

Restraints should be used as a last resort and only when absolutely necessary to protect the patient from harm. By following safe restraint practices and exploring alternative interventions, healthcare providers can minimize the risks associated with restraints and promote patient safety and well-being.

Nurse Larry is caring for a client who has just had a plaster leg cast applied.

The nurse would plan to prevent the development of compartment syndrome by instructing the licensed practical nurse assigned to care for the client to:

A- Elevate the limb and apply ice to the affected leg.
B- Elevate the limb and cover the limb with bath blankets.
C- Place the leg in a slightly dependent position and apply ice to the affected leg.
D- Keep the leg horizontal and apply ice to the affected leg.

The best action for preventing compartment syndrome after a plaster cast application is: A. Elevate the limb and apply ice to the affected leg.

Here's why the other options are not recommended:

B. Elevate the limb and cover the limb with bath blankets:

While elevation is good, adding blankets could trap heat and contribute to swelling.

C. Place the leg in a slightly dependent position and apply ice to the affected leg:

Placing the leg in a dependent position could worsen swelling and is counterproductive.

D. Keep the leg horizontal and apply ice to the affected leg:

Keeping the leg horizontal won't promote drainage and potentially increase swelling.

Therefore, elevating the limb and applying ice are the key actions to prevent compartment syndrome. Elevation helps drain fluids away from the leg, and ice reduces inflammation and swelling.

Additional Points:

Here are some additional points to consider:

Encourage the client to move their toes and wiggle their ankle if not contraindicated.
Monitor the client for signs and symptoms of compartment syndrome, such as pain, numbness, tingling, tightness, and pallor.
Educate the client and their caregivers about the risks and symptoms of compartment syndrome.

By following these guidelines, Nurse Larry can help ensure the client's safety and prevent potential complications.

Nurse Gail has interviewed for a position in a medical-surgical unit.

The nurse’s best action following the interview is to:

A. Waiting for the interviewer to contact you regarding a possible job offer
B. Seek input from staff members on the unit about your chances for getting the job
C. Send a note of thanks to the interviewer
D. Make daily phone calls to check if a decision has been made

The best action for Nurse Gail following the interview is: C. Send a thank-you note to the interviewer.

Here's why the other options are not as good:

A. Waiting for the interviewer to contact you:

While this is certainly part of the process, waiting passively doesn't show initiative and can make you seem less interested.

B. Seeking input from staff members:

This is unprofessional and could be seen as gossipy. It's best to wait for official communication from the hiring manager.

D. Making daily phone calls:

This can be seen as pushy and annoying, especially if the decision-making process hasn't concluded.

Sending a thank-you note is a professional and courteous way to express your continued interest in the position and reiterate your qualifications. It also allows you to address any points you might have forgotten to mention during the interview.

Additional Tips:

Here are some additional tips for writing a thank-you note:

Send it within 24 hours of the interview.
Address it to the interviewer by name.
Briefly thank the interviewer for their time and consideration.
Reiterate your interest in the position and highlight your key qualifications.
Proofread carefully before sending.

By following these tips, Nurse Gail can make a positive impression and increase her chances of landing the job.

Communication is an essential skill for the nurse acting as an advocate.

When the nurse says to the client, “Let me see if I understand what you mean..., “the nurse is involved in the process of:

A. Verification
B. Amplification
C. Clarification
D. Affirming

The correct answer is C. Clarification.

Here's the reasoning:

- Verification:

This involves confirming the accuracy of information you have already received. While the nurse aims to understand the client's meaning, they haven't stated anything yet. So, verification isn't the main process here.

- Amplification:

This means elaborating or expanding on information the client has already provided. The nurse's statement, however, focuses on understanding the client's initial message, not adding to it.

- Clarification:

This involves seeking additional information to better understand the client's meaning. By saying "Let me see if I understand what you mean," the nurse is actively seeking to clarify the client's message, making C the most accurate option.

- Affirming:

This means acknowledging and validating the client's feelings or experiences. While the nurse shows respect for the client, the primary goal here is to understand their message, not necessarily affirm their feelings.

Therefore, based on the intention behind the nurse's statement, clarification aligns best with the process they are engaging in. By seeking additional information, the nurse aims to accurately understand the client's perspective and provide effective advocacy.

Which of the following statements, if made by the student, indicates a need for further understanding regarding critical paths?

a. They are developed through the collaborative efforts of all members of the health care team
b. They provide an effective way for monitoring care and for reducing or controlling the length of hospital stay for the client
c. They are developed based on appropriate standards of care
d. They are nursing care plans and use the steps of the nursing process

Answer D. Note the strategic words in the question, a need for further understanding.
These words indicate a negative event query and ask you to select an option that is incorrect.

What is an example of a pathway?

Use the noun pathway to mean a walk, path, or trail — any marked way that's meant or used for walking. The pathway you follow on your way to school might lead you over a stream and through a field, or it might meander down a narrow city alley.

What is a critical care pathway?

A critical Pathway (CP) is a clinical management tool that helps medical care providers coordinate the delivery of patient care for a particular case type or condition. As a guide to usual treatment patterns, a CP gives a view of the "big picture." The CP usually recommends a total treatment regimen.

What is an example of critical pathway?

Critical pathway development has focused on several cardiovascular diseases and procedures because of volume and costs. These include bypass surgery, diagnostic catheterization, coronary angioplasty, acute myocardial infarction, and unstable angina.

What are the three 3 goals of health care system?

To attain UHC, three strategic thrusts are to be pursued, namely: 1) Financial risk protection through expansion in enrollment and benefit delivery of the National Health Insurance Program (NHIP); 2) Improved access to quality hospitals and health care facilities; and 3) Attainment of health-related Millennium ...

What are the 7 types of health?

Wellness is commonly viewed as having seven dimensions: mental, physical, social, financial, spiritual, environmental, and vocational. These dimensions are interdependent and influence each other.

What are the 4 types of health?

There are five main aspects of personal health: physical, emotional, social, spiritual, and intellectual

What are the 3 types of health care services?

Basic health services are known as primary care, outpatient care, and emergency care.

What are the 3 types of health care?

Primary care is the main doctor that treats your health, usually a general practitioner or internist. Secondary care refers to specialists. Tertiary care refers to highly specialized equipment and care.

What are the 3 C's in nursing?

Perspective: Consistency, Continuity, and Coordination—The 3Cs of Seamless Patient Care.

What are the 8 elements of critical thinking?

The critical thinking framework includes eight elements of thought: purpose, question at issue, information, inferences, concepts, assumptions, implications, and point of view.

What are the 3 main critical thinking techniques?

Critical-thinking skills connect and organize ideas. Three types distinguish them: analysis, inference, and evaluation.

What is the main priority of a nurse?

Bedside priority setting, the main concern of nurses, focused on patients' daily care needs, prioritising work by essential tasks and participating in priority setting for patients' access to care.

What are 3 nursing priorities for patient care?

Prioritization begins with determining immediate threats to life as part of the initial assessment and is based on the ABC pneumonic focusing on the airway as priority, moving to breathing, and circulation (Ignatavicius et al., 2018).

What are the 5 priorities of end of life care in England?

Â The five priorities focus on: recognising that someone is dying; communicating sensitively with them and their family; involving them in decisions; supporting them and their family; and creating an individual plan of care that includes adequate nutrition and hydration.

What are the nurses roles and responsibilities in providing care and support at the end of life?

Decisions about care at the end of a person's life often involve quality-of-life considerations. Nurses are obligated to provide care that includes the promotion of comfort, relief of pain and other symptoms, and support for patients, families, and others close to the patient.

How many stages are there in the end of life care pathway?

six steps

This guide follows the six steps of the pathway laid out in the national strategy. The pathway leads from initial discussion about death and future care, on to assessment and the provision of high quality co-ordinated care and support through to the final days and end of life.

What are the 4 nursing paradigm explain each paradigm?

The four metaparadigms of nursing include person, environment, health, and nursing. The metaparadigm of person focuses on the patient who is the recipient of care. This may encom- pass things such as a person's spirituality, culture, family and friends or even their socioeco- nomic status.

What are the 5 types of health care?

Types of Health Insurance Plans: HMO, PPO, HSA, Fee for Service, POS.

What are the elements of care pathway?

Important elements in care pathways include structuring care activities, by defining their content and sequence; coordinating between providers and professionals; and involving patients in their care process.

What are the 4 types of nursing assessments?

WHEN YOU PERFORM a physical assessment, you'll use four techniques: inspection, palpation, percussion, and auscultation.

What are the 5 C's in nursing?

According to Roach (1993), who developed the Five Cs (Compassion, Competence, Confidence, Conscience and Commitment), knowledge, skills and experience make caring unique.

The nurse manager of a critical care unit must speak to a staff nurse about an employment issue, tardiness

The nurse manager of a critical care unit must speak to a staff nurse about an employment issue, tardiness.

Nearly every day during the past week, the staff nurse has been from 5 to 20 minutes late, missing portions of the daily client status conferences.

The manager had verbally counseled the staff nurse 3 months prior to the latest incidence of tardiness about the same issue.

When they meet, the nurse manager’s best approach to the staff nurse is to:
a- Send the staff nurse to the Human Resources Department for counseling
b- Ask the staff nurse to tell the manager about the facts surrounding the tardiness
c- Inform the staff nurse that, based on unreliability caused by tardiness issues, the nurse is terminated
d- Provide the staff nurse with a detailed notice of intent to terminate if any further incident of tardiness occurs

Answer D.

In general, the process for corrective action begins with an oral reprimand and then a written reprimand.

In addition to the written reprimand, the manager should be prepared to work with the staff nurse to develop a plan of action.

The manager must notify the staff nurse, in writing, of the potential for termination based on tardiness.
If this were the first instance, the manager would ask the staff nurse to describe the facts surrounding the tardiness in order for the manager to assist the staff nurse with problem-solving strategies or to examine the need for moving the staff nurse to a different shift, if indicated.

Managers are expected to deal with personnel issues, and tardiness is a frequent problem that managers face.

Human resources serves as a support to the actions of the manager, but does not assume the role of dealing with the employee.

Managers must give notice prior to termination as a risk management strategy.

Ruth, a nursing student is caring for a client with a brain attack (stroke) who is experiencing unilateral neglect.. Approaches the client from the unaffected side

Ruth, a nursing student is caring for a client with a brain attack (stroke) who is experiencing unilateral neglect.

The nurse would intervene if the student plans to use which of the following strategies to help the client adapt to this deficit?

a- Tells the client to scan the environment

b- Approaches the client from the unaffected side

c- Places the bedside articles on the affected side

d- Moves the commode and chair to the affected side

Answer B. Unilateral neglect is an unawareness of the paralyzed side of the body, which increases the client’s risk for injury.
The nurse’s role is to refocus the client’s attention to the affected side.
The nurse moves personal care items and belongings to the affected side, as well as the bedside chair and commode.
The nurse teaches the client to scan the environment to become aware of that half of the body and approaches the client from the affected side to increase awareness further.

Nurse Rhea is caring for a client with a diagnosis of impaired gas exchange.. The client has normal breath sounds in all lung fields

Nurse Rhea is caring for a client with a diagnosis of impaired gas exchange. Which outcome is most appropriate based upon this nursing diagnosis?
a. The client maintains a reduced cough effort to lessen fatigue
b. The client restricts fluid intake to prevent overhydration
c. The client reduces daily activities to a minimum
d. The client has normal breath sounds in all lung fields

Answer D. If the interventions are effective, breath sounds should return to normal.
The client should be able to cough effectively and should be encouraged to increase activity, as tolerated.
Fluid intake should thin secretions.

Which of the following is the best approach in dealing with the nursing assistant.. Confront the nursing assistant to encourage verbalization of feelings regarding the change

The nurse manager has implemented a change in the method of the nursing delivery system form functional to team nursing. A nursing assistant is resistant to the change and is not taking an active part in facilitating the process of change. Which of the following is the best approach in dealing with the nursing assistant?
a. Ignore the resistance
b. Exert coercion with the nursing assistant
c. Provide a positive reward system for the nursing assistant
d. Confront the nursing assistant to encourage verbalization of feelings regarding the change.

Answer D. Confrontation is an important strategy to meet resistance head on.
Face-to-face meetings to confront the issue at hand will allow verbalization of feelings, identification of problems and issues, and development of strategies to solve the problem.

Terry, new nursing graduate is attending an agency orientation regarding the nursing model of practice implemented in the health care facility

Terry, new nursing graduate is attending an agency orientation regarding the nursing model of practice implemented in the health care facility. The nurse is told that the nursing model is a team nursing approach. The nurse understands that planning care delivery will be based on which characteristic of this type of nursing model of practice?
a. A task approach method is used to provide care to clients
b. Managed care concepts and tools are used in providing client care
c. An RN leads nursing personnel in providing care to a group of clients
d. A single RN responsible for providing nursing care to group of clients

Answer C. In team nursing, nursing personnel are led by a registered nurse leader in providing care to a group of clients.
Option A identifies functional nursing. Option B identifies a component of case management.
Option D identifies primary nursing.

What type of leadership style do the new manager’s characteristics suggest.. Autocratic

Cole is the new unit nurse manager is holding her first staff meeting. The manager greets the staff and comments that she has been employed to bring about performance improvement. The manager provides a plan that she developed, as well as a list of tasks and activities for which each staff member must volunteer to perform. In addition, she instructs staff members to report any problems directly to her. What type of leadership style do the new manager’s characteristics suggest?
a. Autocratic
b. Situational
c. Democratic
d. Laissez-faire

Answer A. The autocratic leader is focused, maintains strong control, makes decisions, and, addresses all problems.
Furthermore, the autocrat dominates the group and commands rather than seeks suggestions or input.
In this situation, the manager addresses a problem (performance improvement) with the staff, designs a plan without input, and wants all problems reported directly back to her.

Nurse Hayden has recently been assigned to manage a pulmonary progressive unit at a large urban hospital.. Democratic

Nurse Hayden has recently been assigned to manage a pulmonary progressive unit at a large urban hospital. The nurse’s leadership style is participative, with the belief that all staff members assist in decision making and the development of the unit’s goals. The nurse is implementing which leadership style?
a. Democratic
b. Laissez faire
c. Autocratic
d. Situational

Answer A. Democratic leadership is defined as participative with a focus on the belief that all members of the group have input into the decision making process.
This leader acts as a resource person and facilitator.
Laissez faire leaders assume a passive approach, with the decision making left to the group.
Autocratic leadership dominates the group, with maintenance of strong control over the group.
Situational leadership is based on the current events of the day.

Nurse Helen is observing a licensed practical nurse (LPN) caring for a decreased client whose eyes will be donated.. Closes the client’s eyes and places a dry sterile dressing over the eyes

Nurse Helen is observing a licensed practical nurse (LPN) caring for a decreased client whose eyes will be donated. The RN intervenes of the LPN performs which action?
a. Elevates the head of the bed
b. Closes the client’s eyes
c. Places wet saline gauze pads and an ice pack on the eyes
d. Closes the client’s eyes and places a dry sterile dressing over the eyes

Answer D. When a corneal donor dies, the eyes are closed and gauze pads wet with saline are placed over them with a small ice pack.
Within 2 to 4 hours, the eyes are enucleated. The cornea is usually transplanted with 24 to 48 hours.
The head of the bed should also be elevated.
Placing dry sterile dressings over the eyes serves no useful purpose.

Nurse Danica and a nursing assistant are assisting the respiratory therapist to position a client for postural drainage. The nursing assistant asks the nurse how the respiratory therapist selects the position used for the procedure

Nurse Danica and a nursing assistant are assisting the respiratory therapist to position a client for postural drainage. The nursing assistant asks the nurse how the respiratory therapist selects the position used for the procedure. The nurse responds that a position is chosen that will use gravity to help drain secretions from which of the following areas?
a. Trachea
b. Main bronchi
c. Lobes
d. Alveoli

Answer C. Postural drainage uses specific client positions that vary depending on the affected lobe(s).
The positions usually involve having the head lower than the affected lung segment(s) to facilitate drainage of secretions.
Postural drainage often is done in conjunction with chest percussion for maximum effectiveness.
The other options are incorrect.

A client who is mouth breathing is receiving oxygen by face mask. Olive the nursing assistant asks the registered nurse (RN) why a water bottle is attached to the oxygen tubing near the wall oxygen outle

A client who is mouth breathing is receiving oxygen by face mask. Olive the nursing assistant asks the registered nurse (RN) why a water bottle is attached to the oxygen tubing near the wall oxygen outlet, the RN responds that the primary purpose of this feature is to:
a. Prevent fluid loss from the lungs during mouth breathing
b. Give the client added fluid via the respiratory tree
c. Humidify the oxygen that is bypassing the client’s nose
d. Prevent the client form getting a nosebleed

Answer C. The purpose of the water bottle is to humidify the oxygen that is bypassing the nose during mouth breathing.
The humidified oxygen may help keep mucous membranes moist but will not substantially alter fluid balance (options A and B).
A client who is breathing through the mouth is not at risk for nosebleeds.

Nurse Wayne is observing a licensed practical nurse (LPN) preparing a client for treatment with a continuous passive motion (CPM) machine

Nurse Wayne is observing a licensed practical nurse (LPN) preparing a client for treatment with a continuous passive motion (CPM) machine. Which observation by the RN would indicate that the PLN is performing an incorrect action?
a. Places the client’s knee in a slightly externally rotated position
b. Keeps the client’s knee at the hinged joint of the machine
c. Assesses the client for pressure areas at the knee and the groin
d. Checks the degree of extension and flexion and the speed of the CPM machine per the physician’s orders

Answer A. In the use of a CPM machine, the leg should be kept in a neutral position and not rotated either internally or externally.
The knee should be positioned at the hinge joint of the machine.
The nurse should monitor for pressure areas at the knee and the groin and should follow the physician’s orders and institutional protocol regarding extension and flexion and speed of the CPM machine.

Sophie, a nursing student develops a plan of care for a client with paraplegia who has risk for injury related to spasticity of the leg muscles.. Use of padded restraints to immobilize the limb

Sophie, a nursing student develops a plan of care for a client with paraplegia who has risk for injury related to spasticity of the leg muscles. On reviewing the plan, the co-assigned nurse identifies which of the following as an incorrect intervention?
a. Use of padded restraints to immobilize the limb
b. Performing range of motion to the affected limbs
c. Removing potentially harmful objects near the spastic limbs
d. Use of prescribed muscle relaxants as needed

Answer A. Range-of-motion exercises are beneficial in stretching muscles, which may diminish spasticity.
Removing potentially harmful objects is a good safety measure.
Use of muscle relaxants also is indicated if the spasms cause discomfort to the client or pose a risk to the client’s safety.
Use of limb restraints will not alleviate spasticity and could harm the client.

Nurse Farrah is supervising a licensed practical nurse (LPN) administering an intramuscular (IM) injection of iron to an assigned client.. Massaging the injection site after injection

Nurse Farrah is supervising a licensed practical nurse (LPN) administering an intramuscular (IM) injection of iron to an assigned client. The RN would intervene if the LPN is observed to perform which of the following?
a. Changing the needle after drawing up the dose and before injection
b. Preparing an air lock when drawing up the medication
c. Using a Z-track method for injection
d. Massaging the injection site after injection

Answer D. The site should not be massaged after injection because massaging could cause staining of the skin.
Proper technique for administering iron by the IM route includes changing the needle after drawing up the medication and before giving it.
An air lock and Z-track technique both should be used.
The medication should be given in the upper outer quadrant of the buttock, not in an exposed area such as the arms or thighs.

Lou, a nursing student is developing a plan of care for a client with a chest tube that is attached to a Pleur-Evac drainage system.. Instruct the client to avoid coughing and deep breathing

Lou, a nursing student is developing a plan of care for a client with a chest tube that is attached to a Pleur-Evac drainage system. The nurse intervenes if the student writes which incorrect intervention in the plan?
a. Position the client in semi-Fowler’s position
b. Add water to the suction chamber as it evaporates
c. Tape the connection sites between the chest tube and the drainage system
d. Instruct the client to avoid coughing and deep breathing

Answer D. It is important to encourage the client to cough and deep breathe when a chest tube drainage system is in place.
This will assist in facilitating appropriate lung re-expansion. Water is added to the suction chamber as it evaporates to maintain the full suction level prescribed.
Connections between the chest tube and the drainage system are taped to prevent accidental disconnection.
The client is positioned in semi-Fowler’s to facilitate ease in breathing.

Nurse Alma is preparing a plan of care for a client who will be hospitalized for insertion of an internal cervical radiation implant.. Prepare a private room at the end of the hallway

Nurse Alma is preparing a plan of care for a client who will be hospitalized for insertion of an internal cervical radiation implant. Which nursing intervention should the nurse implement in preparation for the arrival of the client?
a. Prepare a private room at the end of the hallway
b. Place a sign on the door that indicates that visitors are limited to 60 minute visits
c. Assign one primary nurse to care for the client during the hospital stay
d. Place a linen bag outside of the client’s room for discarding linens after morning care

Answer A. The client with an internal cervical radiation implant should be placed in a private room at the end of the hall because this location provides less of a chance of exposure of radiation to others.
The client’s room should be marked with appropriate signs that indicate the presence of radiation. Visitors should be limited to 30-minute visits.
Nurses assigned to this client should be rotated so that one nurse is not consistently caring for the client and exposing him or herself to excess amounts of radiation.
All linens should be kept in the client’s room until the implant is removed in case the implant has dislodged and needs to be located.