Victims from a chemical spill are being sprayed in the decontamination area. The emergency room nurse is responsible for showering the incoming victims. One patient refuses to remove their undergarments. Which action demonstrates the nurse is following the decontamination protocol?

Allow the patient to remain in undergarments during spraying

Transport the patient to an isolation room in ER

Spray the patient on areas that were exposed to chemicals

Refuse to allow the patient to leave the decontamination area until comply.

Answer and Explanation

The Correct Answer is D

Hazardous material exposure requires decontamination, containment, exposure-control, public-safety measures to prevent secondary contamination. Removal of clothing eliminates ≥80% of contaminants; incomplete decontamination risks toxin spread to staff, environment, and other patients, necessitating strict protocol adherence despite patient resistance.

Rationale:

A. Allowing the patient to remain in undergarments compromises effective decontamination because clothing retains hazardous substances. This increases risk of continued exposure. This practice is unsafe. It violates protocol by failing to eliminate a major source of contamination.

B. Transporting the patient to an isolation room without prior decontamination risks contaminating the emergency department environment. Hazardous agents may spread to staff and surfaces. This action is inappropriate. It breaches containment principles essential in hazardous material incidents.

C. Spraying only exposed areas is insufficient because contaminants may permeate clothing and contact covered skin. Partial decontamination leaves residual toxins. This method is incomplete. It fails exposure-control standards required to ensure full removal of hazardous substances.

D. Refusing to allow the patient to leave the decontamination area until compliance ensures complete removal of contaminated clothing and proper cleansing. This protects staff and other patients. This enforcement supports safety by maintaining strict adherence to decontamination protocols.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

SBAR communication ensures structured, concise, systematic, clinical-communication during patient care transitions. It standardizes information exchange by organizing situation, background, assessment, and recommendation, reducing miscommunication, improving provider response time, and enhancing patient safety outcomes.

Rationale:

A. Incorporating personal feelings about the patient introduces subjective bias into clinical communication. SBAR requires objective, factual data only. This subjectivity compromises clarity and professionalism. It detracts from clinical accuracy and may lead to misinterpretation of patient status.

B. Introducing self to the provider establishes professional identification before communication begins. It ensures clarity of the caller’s role and accountability. This introduction facilitates effective interaction. It supports communication by ensuring the provider recognizes the nurse and clinical context.

C. Including the names of family members at bedside is not essential unless directly relevant to care decisions. SBAR prioritizes critical clinical data. This information is extraneous in most cases. It does not enhance clinical-communication or immediate decision-making processes.

D. Implicating others in the patient's care introduces blame and is unprofessional. SBAR focuses on patient status and recommendations. This behavior disrupts collaboration. It undermines teamwork and does not contribute to effective clinical communication.

Correct Answer is ["4"]

Explanation

Step 1: Identify formula
mcg/min = (mL/hr × concentration in mg/mL × 1000 mcg/mg) ÷ 60

Step 2: Find concentration per mL
= 4 mg ÷ 250 mL
= 0.016 mg/mL

Step 3: Insert values
= (15 × 0.016 × 1000) ÷ 60

Step 4: Calculate
= (240) ÷ 60
= 4

Step 5: Final answer
= 4 mcg/min

Final Answer: 4

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Victims from a chemical spill are being sprayed in the decontamination area. The emergency room nurse is responsible for showering the incoming victims. One patient refuses to remove their undergarments. Which action demonstrates the nurse is following the decontamination protocol?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is utilizing SBAR to communicate assessment findings to the health care provider. What additional information can the nurse add before beginning SBAR?

Correct Answer is B

Explanation

Prescribed: Begin vasopressin IV infusion at 15 mL/hr Available: vasopressin 4 mg/250 mL NS Calculate how many mcg/min the patient is receiving Record your answer in whole number.

Correct Answer is ["4"]

Explanation

A nurse is prioritizing care for a group of patients. Which patients should the nurse assess immediately? Select all that apply.

A nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for care?

A nurse is delegating tasks to an LPN for a stable patient with a chronic tracheostomy. Which task supports continuity of care and is appropriate to delegate?

The new nurse manager feels pulled between the expectations of staff, the demands of hospital administrators, and family obligations. According to Hardy (1978), unrelieved role stress and strain will lead to which condition?

A nurse working as a unit manager is discussing careers with the nursing staff. Which statements are the best example of a career?

Which community focused nursing intervention will provide the greatest impact in meeting the needs of the community?

An explosion occurs at a local factory, and the hospital is notified about the surge in admissions. Based on triage protocol, which patient would the nurse immediately transfer to the hospital?

Prescribed: Begin propofol IV infusion at 9 mL/hr Available: propofol 1000 mg/100 mL Patient's weight: 75 kg Calculate how many mcg/kg/min the patient is receiving?