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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) While bone marrow does play a role in supporting and protecting bones, its primary function is hematopoiesis.
B) Red bone marrow is responsible for producing various types of blood cells, including white blood cells (leukocytes), red blood cells (erythrocytes), and platelets (thrombocytes).
C) Red bone marrow is primarily involved in hematopoiesis, not calcium storage.
D) This function is more related to the structure and function of joints, ligaments, and muscles, rather than bone marrow.
Correct Answer is C
Explanation
A) Standing requires more mobility and strength; it's not the first step in assessing mobility.
B) Placing feet on the floor assesses the client's ability to follow instructions and indicates readiness for further mobility assessments but is not the first step compared to sitting on the edge of the bed for 2 minutes.
C) This is the first action that the nurse should take to assess the client's mobility and balance. Sitting on the edge of the bed for 2 min allows the nurse to observe the client's posture, strength, coordination, and ability to maintain equilibrium.
D) This is a more advanced mobility assessment and should come after basic assessments like placing feet on the floor.
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