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.

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) Passive range of motion exercises do not directly increase muscle mass.

B) Passive range of motion exercises aim to maintain or improve joint flexibility and prevent contractures in clients who are unable to move independently.
C) Passive range of motion exercises do not directly impact bone density.

D) Passive range of motion exercises do not directly increase muscle strength.

A. Orthostatic hypotension increases a client's risk of a pulmonary emboli B. Orthostatic hypotension increases a client's risk of a fall. C. Orthostatic hypotension is indicated by a decrease in systolic blood pressure of 10 mm Hg. D. Orthostatic hypotension is indicated by a decrease in diastolic blood pressure of 5 mm Hg.

Correct Answer is B

Explanation

A) Orthostatic hypotension primarily affects blood pressure regulation and is not directly related to the risk of pulmonary emboli.
B) Orthostatic hypotension can cause dizziness and fainting upon standing, increasing the risk of falls.
C) Orthostatic hypotension is typically indicated by a decrease in systolic blood pressure of 20 mm Hg or more.
D) Orthostatic hypotension is primarily diagnosed based on changes in systolic blood pressure, not diastolic blood pressure.

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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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