Page 1313 - Saunders Comprehensive Review For NCLEX-RN
P. 1313

▪ Limit time to 30 minutes per care provider per shift.

                  ▪ Wear a dosimeter film badge to measure radiation exposure.
                  ▪ Lead shielding may be used to reduce exposure to radiation.
                  ▪ The nurse should never care for more than 1 client with a radiation implant at 1
                    time.
                  ▪ Do not allow a pregnant nurse to care for the client.
                  ▪ Do not allow children younger than 16 years or a pregnant woman to visit the
                    client.
                  ▪ Limit visitors to 30 minutes per day; visitors should be at least 6 feet from the
                    source.

                  ▪ Save bed linens and dressings until the source is removed; then dispose of the
                    linens and dressings in the usual manner.
                  ▪ Other equipment can be removed from the room at any time.




               Box 44-7

               Classification of Leukemia

               Acute Lymphocytic Leukemia


                  ▪ Mostly lymphoblasts present in bone marrow
                  ▪ Age of onset is younger than 15 years.


               Acute Myelogenous Leukemia


                  ▪ Mostly myeloblasts present in bone marrow
                  ▪ Age of onset is between 15 and 39 years.


               Chronic Myelogenous Leukemia


                  ▪ Mostly granulocytes present in bone marrow
                  ▪ Age of onset is in the fourth decade.


               Chronic Lymphocytic Leukemia



                  ▪ Mostly lymphocytes present in bone marrow
                  ▪ Age of onset is after 50 years.



               Box 44-8

               Mouth Care for the Client with Mucositis





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