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 ["A","B","E"]

Explanation

A) Providing under-bed lighting at night can help clients see better and avoid tripping over objects or cords.
B) This prevents the bed from moving unintentionally, reducing the risk of falls when clients are getting in or out of bed.
C) Keeping the bed at a low position actually helps prevent falls as it reduces the distance a patient can fall.
D) Socks can increase the risk of slipping, so they should be avoided or non-slip socks should be used.
E) Placing breaks on the clients’ wheelchairs can prevent them from rolling away or tipping over when transferring or sitting.

A. High-Fowler B. Lateral C. Prone D. Supine

Correct Answer is D

Explanation

A. High-Fowler:
In the high-Fowler position (sitting upright at 60-90 degrees), gravity pulls the client downward, making it more difficult to reposition them toward the head of the bed.

B. Lateral:
In the lateral position (lying on the side), the client is not aligned for upward movement and would require additional steps to turn them back to a supine position before repositioning.

C. Prone:

The prone position (lying on the stomach) is not appropriate for repositioning toward the head of the bed, as it makes movement more difficult and increases the risk of injury.
D. Supine:
This position provides a stable and neutral alignment for the client's body, making it easier to use safe lifting techniques or assistive devices (e.g., draw sheet) to move the client toward the head of the bed.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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