Question

Difficulty: MediumEmergency Response and Hazardous Materials

A client who works at a local swimming pool facility presents to an urgent care triage desk coughing heavily. The client smells strongly of chemicals and states, 'A chlorine pipe burst and sprayed my clothes.' Which of the following is the priority action for the practical nurse (PN)?

  1. Don appropriate personal protective equipment before escorting the client to a designated decontamination area.Answer
  2. B
    Quickly remove the client's chemical-soaked clothing to stop the exposure before donning protective gear.
  3. C
    Instruct the clinic receptionist to immediately guide the client to the nearest public restroom for a shower.
  4. D
    Obtain the client's respiratory rate and oxygen saturation level at the triage desk before moving them.

Answer

The correct action is to don appropriate personal protective equipment before escorting the client to a designated decontamination area.
In any hazardous materials incident, the primary responsibility of the healthcare worker is to ensure personal and facility safety to prevent secondary exposure. Donning appropriate personal protective equipment must occur before interacting closely with the contaminated client or assisting with their decontamination.

Step-by-Step Solution

1
Identify the presence of a hazardous material (chlorine) and the immediate risk of secondary exposure.
Recognition that standard clinical triage must be paused in favor of hazardous materials protocols.
Protecting the facility and healthcare workers is always the foundational step in hazmat response.
2
Prioritize personal safety by donning appropriate personal protective equipment (PPE).
The nurse is protected from chemical transfer via contact or inhalation.
A nurse who becomes a secondary casualty cannot care for the client and drains critical emergency resources.
3
Isolate the client and proceed with safe decontamination.
The client is moved to a designated isolation area to safely remove the hazardous substance.
Isolation prevents the spread of toxic chemical vapors to other vulnerable patients and staff in the clinic.

Key Concept

Hazardous Materials Response and Nurse Safety
Rate this question