Internal radium implant......

[nclexear]

Hello guys,

I have a question, and hope that i get some answers and clarification...my exam is soon.. The question is?--

While taking care of a patient with Internal radium implant,... Is lead apron required for routine care? or the nurse ahould just decrease the time he or she spends with the pt. in close contact.

Wating for your response.... thanks everybody

[Asia53]

There's a rule a thumb for radiation safety: time, distance, and shielding.

Time: plan your tasks, work efficiently to reduce your time exposed.

Distance: If possible, 6 ft or more will reduce your chance of exposure.

Shielding: Lead apron, and lead gloves (if available).

I worked in the Radiation Safety field, and this is what I would do, especially with radium (ionizing radiation-nasty)!

I hope this helps.

Asia :wink2:

[iToniai]

From what I've read in the Saunders comprehensive book (RN, 3rd edition), you would do both. Limit the time spent in the room and wear a lead apron.

[nclexear]

Thanks Aisa and Deetonia.... it was helpful...Gob Bless

[JANEwwz]

i had this question from kaplan

45 yr old with radium implant for cervical cancer, the nurse should:

1.limit time to spend in pt's room to 30 mins each shift

2. require all visitors wear lead apron when they visit

3.keep the used linen in the room until the implant is removed

4.monitor pt's output in the bedside commode

the answer is 3, i just don't understand why not 1

[Asia53]

i had this question from kaplan

45 yr old with radium implant for cervical cancer, the nurse should:

1.limit time to spend in pt's room to 30 mins each shift

2. require all visitors wear lead apron when they visit

3.keep the used linen in the room until the implant is removed

4.monitor pt's output in the bedside commode

the answer is 3, i just don't understand why not 1

Answer #1: The room isn't being bombarded with radiation--just around the patient's groin. Radium is an ionizing radiation (like X-ray), it passes right through you. Unless you're working very close for a very long time, then the danger to you increases.

Answer #2:Lead aprons would be nice, but as long as visitors keep a reasonable distance, they should be fine. Usually, facilities have protocols on radiation safety.

Answer #4:Cervical implant---she's not going to pee these out.

I hope this helps.

Asia :)