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Zorluk: KolayHandling Hazardous and Infectious Materials

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?

  1. A
    Manually pick up the implant using sterile gloves and discard it in a sharps container.
  2. B
    Instruct the unlicensed assistive personnel (UAP) to place the dislodged source into a red infectious waste bag.
  3. Use long-handled forceps to pick up the implant and place it into a designated lead container.Cevap
  4. D
    Prioritize obtaining the client's vital signs before attempting to secure the radioactive source.

Cevap

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.

Adım Adım Çözüm

1
Identify the immediate environmental hazard.
The nurse recognizes that an unsecured radioactive source poses a severe exposure risk to the client and staff.
Recognizing the hazard dictates the immediate priority of securing it.
2
Implement appropriate safety measures to handle the hazardous material.
The nurse uses long-handled forceps to pick up the source.
Using forceps maximizes the distance from the radiation source, which is a key principle of radiation safety.
3
Secure the radioactive material in the appropriate receptacle.
The implant is placed directly into a lead-lined container.
Lead provides effective shielding against ionizing radiation, neutralizing the immediate exposure risk.

Anahtar Kavram

Management of a dislodged radioactive implant requires the principles of time, distance, and shielding, specifically utilizing forceps and a lead container.
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