A client is receiving high-dose unsealed oral iodine-131 therapy for thyroid carcinoma and is in a private, lead-lined isolation room. The client experiences sudden nausea and vomits a large amount of liquid onto the floor. Which of the following is the most appropriate initial nursing action for handling this hazardous material?
- ADon double gloves and a gown, solidify the emesis using a biological spill kit, and dispose of the waste in a red infectious waste receptacle.
- BDelegate the immediate containment of the spill to environmental services while assessing the client's vital signs.
- Don appropriate personal protective equipment, cover the emesis with absorbent pads to prevent spreading, and immediately notify the Radiation Safety Officer.Answer
- DImmediately transfer the client to a clean isolation room to limit further exposure and secure the contaminated room.
Answer
The most appropriate action is to don personal protective equipment, cover the emesis with absorbent pads to contain it, and notify the Radiation Safety Officer.
The correct answer involves covering the emesis with absorbent pads and notifying the Radiation Safety Officer. Iodine-131 is an unsealed radioactive isotope, meaning the client's bodily fluids (including emesis, urine, and saliva) are highly radioactive. The immediate priority is to prevent the physical spread of the contamination by covering it, minimizing staff exposure time, and contacting the specialized officer who will oversee the safe cleanup and disposal using appropriate lead-lined containers.
Step-by-Step Solution
Key Concept
Management of unsealed radioactive spills requires immediate containment to prevent spread and intervention by the Radiation Safety Officer, strictly differentiating it from standard biological hazard protocols.