Question

Difficulty: MediumEmergency Response and Hazardous Materials

Following an industrial accident, a client arrives at an urgent care clinic reporting exposure to an unknown dry chemical. A thick layer of white powder is visible on the client's forearms and shirt. Which actions should the practical nurse take? Select all that apply.

  1. Put on personal protective equipment, including gloves and a gown, before interacting with the client.Answer
  2. Brush the visible dry chemical powder off the client's skin using a dry, disposable cloth.Answer
  3. Assist the client in carefully removing contaminated garments and placing them in a designated biohazard bag.Answer
  4. D
    Remove the protective face shield and mask before taking off the chemically contaminated gloves.
  5. E
    Perform the initial comprehensive triage assessment to determine the extent of systemic chemical toxicity.
  6. F
    Delay the decontamination process to immediately obtain a full set of baseline vital signs and a health history.

Answer

The correct actions are to put on personal protective equipment before contact, brush the dry chemical off the skin, and assist the client in removing contaminated clothing.
The correct actions focus on immediate safety and hazard containment. The nurse must first prioritize self-protection by donning appropriate equipment. For dry chemicals, brushing the powder off the skin is essential because adding water could cause an exothermic reaction resulting in severe burns. Finally, safely removing and bagging contaminated clothing effectively halts further exposure to the client and the environment.

Step-by-Step Solution

1
Ensure personal safety by donning appropriate personal protective equipment.
The nurse is protected from secondary exposure to the unknown chemical.
Healthcare workers cannot safely assist clients if they become contaminated themselves.
2
Brush the dry chemical powder off the client's skin.
The bulk of the chemical hazard is removed without triggering a dangerous chemical reaction.
Unknown dry chemicals can react violently with water, so they must be brushed off rather than flushed immediately.
3
Assist with the removal and isolation of the client's clothing.
The ongoing source of chemical exposure is eliminated.
Contaminated clothing traps chemicals against the skin; removing it stops further injury.

Key Concept

Hazardous Material Decontamination and PN Scope of Practice
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