The nurse is caring for a client with an internal cervical radiation implant. When performing morning care, the nurse notes the implant lying on the bed. Which nursing action should be done first ?

  1. notify the health care provider
  2. apply gloves and attempt to reinsert the implant
  3. retrieve the implant with long-handled forceps and place into a lead container
  4. don a lead apron and retrieve the implant with long-handled forceps and place into a lead container
Number 3 is correct.
Rationale: The nurse caring for the client with a radioactive implant should don a lead gown before performing any client care; therefore, the nurse only needs to retrieve the implant with long-handled forceps and place it into a lead container. Clients with implants should have a lead container and long-handled forceps available in the room in case of dislodgement. Once the implant is retrieved, the health care provider should be notified. Attempting to reinsert the implant is beyond the scope of nursing practice and should be performed only by the health care provider.