For a patient with a cervical radiation implant, what is the most appropriate activity order?

• A. Bed rest
• B. Out of bed ad lib
• C. Out of bed in a chair only
• D. Ambulation to the bathroom only

Answer: (A)

Keeping the patient in bed is essential because a cervical radiation implant places the radioactive source inside the uterus/cervix. Any movement can shift the applicator or the source, which risks dislodgement and increases radiation exposure to surrounding tissues and to staff. Bed rest minimizes this risk during the critical period when the implant is in place, ensuring the treatment stays accurately positioned. If elimination or hygiene is needed, it can be managed at the bedside with assistance (bedpan, urinal, or near-bed options) while maintaining the implant’s position. Movement out of bed or ambulation would defeat this safety goal and is not appropriate during this phase.