Final answer:
When caring for a client with an invasive carcinoma of the bladder who receives radiation to the lower abdomen, the nurse can implement interventions such as medication administration, brachytherapy, and monitoring and support to address potential side effects of radiation.
Step-by-step explanation:
When caring for a client with an invasive carcinoma of the bladder who receives radiation to the lower abdomen, there are several interventions a nurse can implement to address potential side effects of radiation:
- Medication: The nurse can administer medications such as narcotics to alleviate intense pain and prescription medications like zofran and phenergan to help with nausea. Special mouthwashes can also be used to reduce dry mouth and cavities.
- Brachytherapy: This is a treatment option where iridium-192 needles or wires are inserted to deliver higher radiation doses. It can be used to treat certain cancers, including prostate and breast cancer.
- Monitoring and Support: The nurse should closely monitor the client for any side effects and provide support and education on managing symptoms such as skin dryness, loss of sensation, immune disorders, anemia, gastrointestinal issues, hair loss, dry mouth, and tooth decay.