A client is receiving a radiation implant for the treatment of bladder cancer. Which of the following interventions is appropriate?
A. Flush all urine down the toilet.
B. Restrict the client’s fluid intake.
C. Place the client in a semi-private room.
D. Monitor the client for signs and symptoms of cystitis.
Correct Answer: D. Monitor the client for signs and symptoms of cystitis.
Cystitis is the most common adverse reaction of clients undergoing radiation therapy; symptoms include dysuria, frequency, urgency, and nocturia. Document the color of the patient’s urine. Be aware that patients who complain of dysuria may require a urinalysis to rule out infection.
Option A: Urine of clients with radiation implants for bladder cancer should be sent to the radioisotopes lab for monitoring. Teaching is a primary responsibility of nursing care for radiation patients. Patients and families must know what to expect, get a chance to ask questions, and have those questions answered to their satisfaction.
Option B: It is recommended that fluid intake be increased. A dehydrated patient may require I.V. fluids. Teach the patient to report dehydration signs and symptoms, such as weakness, dizziness, and decreased urine output. If the patient reports diarrhea or vomiting, assess for volume depletion and check orthostatic vital signs and weight.
Option C: Clients with radiation implants require a private room. Helping patients and families manage side effects is a key nursing responsibility. Unlike the systemic side effects of chemotherapy, radiation side effects are specific to the treatment site. Make sure the patient receives an explanation of the treatment and its potential side effects.
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