If an internal radioactive implant is found in the bed linens, what is the first action the nurse should take?

• A. Stand as far away from the implant as possible and call for help.
• B. Pick up the implant with long-handled forceps and place it in a lead-lined container.
• C. Leave the room and notify the radiation therapy department immediately.
• D. Have the client pick it up and put it in the lead container

Answer: (B)

Handling a dislodged radioactive implant requires minimizing exposure by keeping distance, using shielding, and never touching the source with bare hands. The best action is to retrieve the implant with long-handled forceps and place it in a lead-lined container. This immediately reduces exposure for you and secures the source in shielding to prevent further radiation spread.

After you’ve safely contained the implant, follow facility protocol by notifying the radiation safety/radiation therapy team so the source can be accounted for and the area can be decontaminated as needed. The other options either delay securing the source, put the patient or others at risk, or involve handling the implant directly with the patient’s participation.