Extract:

Question 1 of 5

A client with uterine cancer is being treated with internal radiation therapy (brachytherapy). What is the nurse's PRIORITY action when caring for this client?

A. Wear a dosimeter badge and lead apron when providing direct patient care.B. Avoid placing a radiation sign at the entrance of the room for patient privacyC. Alert family members that they should restrict their visiting to 60 minutes at a time.D. Explain to the patient that she will continue to emit radiation for months after the implant is removed.

Correct Answer: A

Rationale: Wearing a dosimeter badge and lead apron minimizes radiation exposure, prioritizing nurse safety during brachytherapy care.

Question 2 of 5

A nurse is caring for a client who develops the rhythm below. The client is unresponsive, pulseless, and apneic. Which of the following actions should the nurse expect to do first?

A. Prepare for defibrillationB. Atropine administrationC. Prepare for synchronized cardioversionD. Amiodarone administration

Correct Answer: A

Rationale: Defibrillation is the priority for ventricular fibrillation, a life-threatening arrhythmia, to restore a perfusing rhythm in an unresponsive, pulseless client.

Question 3 of 5

How many milligrams of carbidopa is this patient taking per dose/tablet?

Correct Answer: B

Rationale: The label indicates each tablet contains 25 mg of carbidopa, combined with levodopa to enhance effectiveness and reduce side effects.

Question 4 of 5

The nurse is caring for a client with uterine cancer who is being treated with brachytherapy. The UAP reports that the client ambulated to the restroom and is now reporting, 'something feels like it's coming out.' What is the nurse's priority action?

A. Assess for dislodgement and use forceps to retrieve the dislodged pellets and place in the lead container.B. Assess the patient's knowledge of the treatment plan and her willingness to participate.C. Assess the UP's knowledge and explain the rationale for strict bed rest.D. Notify the physician about the potential dislodgment of the radiation implant.

Correct Answer: A

Rationale: The priority action when a patient is receiving brachytherapy for uterine cancer is to assess for potential dislodgement of the radioactive implant. If the radiation source has been displaced, it must be handled carefully to prevent radiation exposure to the nurse, other patients, and staff. The nurse should use forceps to carefully retrieve the dislodged pellets and place them in a lead container to prevent contamination.

Question 5 of 5

A nurse working in the Neuro ICU is caring for a client who has been recently diagnosed with Guillain Barre Syndrome. Which of the following clinical manifestations should the nurse assess for?

A. Unilateral upper extremity weaknessB. Bilateral ascending weaknessC. Mask like facial expressionsD. Pill rolling actions made by the clients fingers

Correct Answer: B

Rationale: Bilateral ascending weakness, starting in the lower extremities, is a hallmark of GBS due to autoimmune attack on peripheral nerve myelin.