A nurse is caring for a client receiving internal radiation therapy (brachytherapy) for cervical cancer. Upon entering the room, the nurse discovers that the sealed radiation implant has dislodged and is lying on the bed linens. Arrange the following nursing actions in the correct sequence of execution.
- 1Instruct the client to lie completely still.
- 2Retrieve the radioactive source using long-handled forceps.
- 3Place the implant into the designated lead-lined container.
- 4Close the lid of the lead-lined container securely.
- 5Notify the Radiation Safety Officer and the healthcare provider.
Cevap
The correct sequence is to first instruct the client to remain still, followed by retrieving the source with long-handled forceps, placing it in the lead container, securing the lid, and finally notifying the appropriate personnel.
When a sealed radiation source (brachytherapy implant) becomes dislodged, the primary goal is to safely contain the hazard while minimizing radiation exposure to the client and staff. The nurse must first instruct the client to remain completely still to prevent the implant from falling to the floor or becoming difficult to locate. Next, utilizing the principle of distance, the nurse uses long-handled forceps to retrieve the source. The principle of shielding is then applied by immediately placing the implant into the designated lead-lined container and securing the lid. Once the immediate hazard is safely contained, the nurse must notify the Radiation Safety Officer and the healthcare provider for further evaluation and intervention.
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Anahtar Kavram
Proper emergency response for a dislodged sealed radiation source prioritizes the principles of time, distance, and shielding to minimize radiation exposure before seeking assistance.