A client with thyroid cancer is admitted to a private hospital room and receives an oral therapeutic dose of unsealed radioactive iodine (I-131). The nurse is reviewing the safety and environmental protocols for the shift. Which action by the nurse demonstrates the correct management of hazardous materials associated with this therapy?
- APlacing the client's used disposable meal trays into the facility's standard red biohazard waste receptacle
- BSending the client's soiled bed linens to the facility's central laundry department in a designated water-soluble bag
- Directing the client to use the private toilet and flush it at least twice with the lid closed after each voidingAnswer
- DDelegating the emptying of the client's bedside commode to the unlicensed assistive personnel (UAP)
Answer
The correct action is to direct the client to use the private toilet and flush it at least twice with the lid closed after each voiding.
The correct answer demonstrates the safest method for disposing of highly radioactive urine. Because unsealed radioactive iodine (I-131) is primarily excreted through the kidneys, the client's urine is heavily contaminated. Instructing the client to use a private toilet and flush multiple times with the lid closed safely dilutes the isotope into the plumbing system while preventing the aerosolization of radioactive particles into the room environment.
Step-by-Step Solution
Key Concept
Radiation Safety Protocols for Unsealed Isotopes