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
None
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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Related Questions
Correct Answer is D
Explanation
A) Urine retention is a common symptom of bladder outlet obstruction but in this case assessing the patient for a urinary tract infection is the priority.
B) While proteinuria can indicate kidney dysfunction, it's not directly related to urinary retention.
C) This refers to bladder dysfunction due to neurological causes and may not be directly related to urinary retention in an immobile client.
D) Immobility can increase the risk of urinary tract infections Urinary retention can lead to urinary tract infection (UTI) due to bacterial growth in the stagnant urine. The nurse should monitor the client for signs and symptoms of UTI, such as fever, chills, dysuria, hematuria, and foul-smelling urine.
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.
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