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 C
Explanation
A) This is part of proper body mechanics but not the first action when repositioning a client.
B) Proper body mechanics involve pivoting rather than twisting the spine but is not the first action when repositioning a client.
C) Adjusting the bed height ensures the nurse is working at an optimal level to prevent strain during the repositioning process.
D) Engaging core muscles is important for stability during lifting and repositioning but is not the first action to take.
Correct Answer is C
Explanation
A) The lens tends to become less flexible with age, affecting accommodation.
B) The lens may become thicker with age, contributing to presbyopia.
C) Age-related changes such as decreased pupil size and changes in visual acuity can lead to reduced depth perception.
D) Aging can lead to decreased muscle tone, including in the eye muscles, which may affect accommodation and focus.
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