A nurse is caring for a client who has been exposed to an unknown chemical. Which of the following actions should the nurse take?

Instruct the client to remove their clothing.

Remain at least 1.8 meters (6 feet) from the client

Place the client's clothing in a plastic bag

Shower and scrub the client's skin.

None

Answer and Explanation

The Correct Answer is A

A)   Removing contaminated clothing is the first step in chemical exposure situations, since it reduces further absorption of the chemical.
B)   Maintaining a safe distance from the client helps prevent potential exposure to the unknown chemical but removing contaminated clothes is the priority.
C)   This step can be taken later for proper disposal but is not the immediate priority. Showering is an essential step after clothing removal to decontaminate the skin, but scrubbing should be avoided as it may cause further chemical absorption or skin irritation. Gentle rinsing with water is preferred.

D) While decontamination is important, it should be done by trained personnel using appropriate protocols and protective equipment.

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Correct Answer is B

Explanation

A) Tucking the chin may be appropriate to maintain spinal alignment, but this statement does not address overall posture during client transfers.
B) Maintaining a straight back helps distribute weight evenly and reduces the risk of injury to the spine during client transfers.
C) Keeping the knees straight may lead to increased strain on the back and legs during transfers, and it is not recommended.
D) Engaging the abdominal muscles helps stabilize the core and protect the spine during transfers; therefore, they should not be loosened.

A. A client who has pneumonia after being on a ventilator B. A client who has a bladder infection and has an indwelling urinary catheter C. A client who has a surgical site infection D. A client who has influenza acquired from a coworker E. A client who has an infection at their central line insertion site

Correct Answer is ["A","B","C","E"]

Explanation

A) HAIs, are infections that clients acquire while receiving health care services in any setting, such as hospitals, clinics, or home care agencies. Ventilator-associated pneumonia is a common HAI.
B) Catheter-associated urinary tract infections are a common HAI.

C) Surgical site infections are a common HAI.

D) A client who has influenza acquired from a coworker is not an example of an HAI, because the infection was not related to the health care services they received.
E) Central line-associated bloodstream infections are a common HAI.

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A nurse is caring for a client who has been exposed to an unknown chemical. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","C","E"]

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