護理師照顧一位正接受體內放射治療（近接治療）的病人。必須執行哪項安全防護措施？
A nurse is caring for a client who is receiving internal radiation therapy (brachytherapy). Which safety precaution must be implemented?
- AAssign the client to a semi-private room with another radiation client將病人分配至與其他放射線病人共用的半私人病房
- BKeep a lead container and long-handled forceps in the room✓ 正解在病房內備置鉛容器和長柄鑷子
- CLimit each visitor to 60 minutes per day每位訪客每日限制為 60 分鐘
- DWear a lead apron during all direct care activities在所有直接照護活動期間穿戴鉛衣
放射線治療安全的核心原則是：時間（Time）、距離（Distance）、屏蔽（Shielding）。對於體內放射治療（Brachytherapy），病人體內的放射源隨時可能脫落。B 選項是絕對必要的安全準備，若放射源移位或脫落，護理師必須使用長柄鑷子（增加距離）將其夾入鉛盒（提供屏蔽），絕不能用手直接觸摸。C 選項錯誤，訪客應限制在每日 30 分鐘內，且保持 6 呎距離；A 選項錯誤，這類病人必須住單人房以防輻射影響他人；D 選項則有爭議，雖然鉛衣提供屏蔽，但在常規快速護理時，維持距離比穿鉛衣更有效，且鉛衣無法保護全身，通常強調的是減少待在病房的時間（15-30 分鐘內）。
The core principles of radiation therapy safety are: time, distance, and shielding. For brachytherapy, the radiation source inside the client may become dislodged at any moment. Option B is absolutely essential safety preparation: if the source migrates or dislodges, the nurse must use long-handled forceps (increasing distance) to place it in a lead container (providing shielding), and must never touch it with bare hands. Option C is incorrect; visitors should be limited to 30 minutes per day and maintain a 6-foot distance. Option A is incorrect; such patients must be placed in a private room to prevent radiation exposure to others. Option D is debatable; while a lead apron provides shielding, during routine quick care, maintaining distance is more effective than wearing an apron, and lead aprons cannot shield the entire body. The emphasis is on minimizing time spent in the room (within 15-30 minutes).
在美國，放射安全官（RSO）會嚴格監控護理人員佩戴的膠片劑量計（Film Badge），並有明確的法規限制年度曝露量。台灣大型醫學中心也有類似制度，但在基層醫院，關於長柄鑷子與鉛盒的即時擺放位置，有時在演練上不如美國 NCLEX 標準要求的那麼嚴謹。