A nurse assumes the leading role on the hazardous materials team immediately following a chemical mass casualty incident in the community. As clients arrive at the designated triage area outside the hospital, which of the following actions should the nurse take?
Admit the injured clients to positive-pressure rooms.
Remove contaminated clothing.
Scrub the clients' skin with betadine solution.
Place shower caps over the clients' hair.
The Correct Answer is B
A. Positive-pressure rooms are not appropriate for contaminated clients; negative-pressure or decontamination areas are preferred to prevent spread.
B. Removing contaminated clothing is a critical first step to reduce chemical exposure and prevent secondary contamination.
C. Scrubbing skin with betadine is not recommended as it may cause further irritation or harm; gentle washing with water is preferred.
D. Placing shower caps over hair does not remove contamination; thorough decontamination requires removal of clothing and washing.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A.Routine antiseptic cleaning of the periurethral area is not recommended; cleansing with soap and water is sufficient.
B.Indwelling catheter use should be limited to the shortest duration necessary, but a specific time limit like 4 days is not a standard protocol; clinical judgment guides removal.
C.Maintaining a closed urinary drainage system with secure connections prevents contamination and reduces UTI risk.
D.Routine catheter irrigation is not recommended as it can introduce infection and is only done when clinically indicated.
Correct Answer is D
Explanation
A.Assisting with ambulation is part of routine nursing care, not specifically an act of advocacy.
B.Reorienting the client helps with confusion but is also standard care for clients with cognitive impairment.
C.Performing a cognitive assessment is part of the nurse’s assessment role and does not involve speaking or acting on the client's behalf.
D. This demonstrates advocacy by promoting therapies that support the client's cognitive and emotional well-being. The nurse is taking action to support the client's preferences and needs beyond routine care.
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