Page 1264 - Saunders Comprehensive Review For NCLEX-RN

route or by instillation into body
cavities.
b. The source is not confined completely
to one body area, and it enters body
fluids and eventually is eliminated via
various excreta, which are radioactive
and harmful to others. Most of the
source is eliminated from the body
within 48 hours; then neither the client
nor the excreta is radioactive or
harmful.
5. Sealed radiation source (Priority Nursing Actions)
(Box 44-6)
a. A sealed, temporary or permanent
radiation source (solid implant) is
implanted within the tumor target
tissues.
b. The client emits radiation while the
implant is in place, but the excreta are
not radioactive.
6. Removal of sealed radiation sources
a. The client is not radioactive after
removal.
b. Inform the client that cancer is not
contagious.
c. Inform the client to follow the PHCPs
prescription regarding resumption of
sexual intercourse if the implant was
cervical or vaginal.
d. Advise the client who had a cervical or
vaginal implant to notify the PHCP if
any of the following occurs: severe
diarrhea, frequent urination, urethral
burning for more than 24 hours,
hematuria, heavy vaginal bleeding,
extreme fatigue, abdominal pain, fever
over 100° F (38° C), or other signs of
infection.

Priority Nursing Actions

Sealed Radiation Implant that Dislodges
1. Encourage the client to lie still.
2. Use a long-handled forceps to retrieve the
radioactive source.
3. Deposit the radioactive source in a lead
container.
4. Contact the radiation oncologist.

1264