While conducting bedside rounds, a nurse observes that a client's internal radiation implant (brachytherapy) has become dislodged and is resting on the mattress. Which of the following is the most appropriate initial action by the nurse?
- AManually pick up the implant using sterile gloves and discard it in a sharps container.
- BInstruct the unlicensed assistive personnel (UAP) to place the dislodged source into a red infectious waste bag.
- Use long-handled forceps to pick up the implant and place it into a designated lead container.Answer
- DPrioritize obtaining the client's vital signs before attempting to secure the radioactive source.
Answer
The nurse should use long-handled forceps to place the implant into a designated lead container.
The correct action when a radioactive implant becomes dislodged is to minimize radiation exposure by never touching it directly. The nurse must use long-handled forceps to retrieve the source and place it immediately into a lead-lined container, which should always be kept in the client's room during brachytherapy.
Step-by-Step Solution
Key Concept
Management of a dislodged radioactive implant requires the principles of time, distance, and shielding, specifically utilizing forceps and a lead container.
Estimated Time:1m 0s