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The nurse observes vaginal packing protruding from the client's vaginal vault after radium implants for cervical cancer were inserted. 1 The radioactive packing will injure healthy tissue

1 The radioactive packing will injure healthy tissue.
2 Removal of the packing will prevent excessive blood loss.
3 Radium exposure to the environment diminishes the effectiveness.
4 Removal of the packing minimizes life-threatening contact with the radiation.

1 Answer

3 votes

Final answer:

The question involves the management of radium implants used in brachytherapy for cervical cancer treatment. Safe handling and timely removal are vital to prevent radiation injury to healthy tissue and to minimize environmental exposure. Brachytherapy provides targeted treatment with approaches such as temporary iridium-192 needles for various cancers. so, option 3 is the correct answer.

Step-by-step explanation:

The question relates to the observation of vaginal packing protruding from the client's vaginal vault after the insertion of radium implants for the treatment of cervical cancer. Brachytherapy, which this scenario describes, involves the placement of ionizing radiation sources directly at the site of the tumor. When receiving this form of treatment, particularly with insertable and removable radioactive materials like iridium-192 needles or wires, it is crucial that the materials be managed safely to prevent exposure to healthy tissue and minimize radiation exposure to the environment and care providers. Temporary brachytherapy using iridium-192 delivers high radiation doses within a short time frame and is completely removed from the body post-treatment, ensuring that ongoing radiation exposure does not occur.

It is important to know that removal of protruding vaginal packing after radium implant placement would minimize life-threatening contact with the radiation for the patient and healthcare staff. The packing should be carefully managed to prevent any injury to healthy tissues and to control potential environmental contamination. The effectiveness of the radiation treatment is not diminished by environmental exposure; instead, it is designed to target the cancerous area effectively with minimal damage to healthy tissues surrounding the treatment site.

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