19. A radioactive iodine (131I) treatment has just been completed. Knowing the excretion and effect of 131I, a nurse should:
19. A radioactive iodine (131I) treatment has just been completed. Knowing the excretion and effect of 131I, a nurse should:
. Inform the client that there is little danger of exposing others to radiation.
. See that the urine is collected in a leakproof container.
. Always wear a radiation detection badge when near the client.
. Avoid prolonged contact with the client for 6 days after the treatment.
Test-Taking Tip
Choose the option that is different from the others. Only one says there is really nothing to worry about.
Content Area: Adult Health, Endocrine; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications of Diagnostic Tests/Treatments/Procedures
.
Answer 1 is correct because the dose is so low that there is little chance of exposure to others. Avoiding contact with pregnant women and young children, or close contact, such as kissing or dancing cheek to cheek, is often advised for 2 to 3 days after treatment. Answer 2 is incorrect because there are no special disposal precautions needed. Flushing the toilet two to three times after each use for 2 to 3 days is sufficient. Answer 3 is incorrect because the dose is so low that there is little chance of exposure to others. A client can return to work the next day after treatment. Answer 4 is incorrect because exposure to others is not a risk. However, physicians may recommend avoiding close contact for 2 to 3 days after treatment.