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Zorluk: KolayEmergency Response and Hazardous Materials

A licensed practical nurse (PN) is assisting in the response to a hazardous chemical spill that occurred at a local facility. Multiple affected clients are being brought to the emergency department. Which action by the PN is appropriate during this emergency response?

  1. Assisting stable, ambulatory clients with removing their contaminated clothing in the designated decontamination area.Cevap
  2. B
    Performing the primary mass casualty triage and assigning color-coded severity tags to arriving clients.
  3. C
    Administering emergency intravenous (IV) push medications to an unstable client who inhaled chemical fumes.
  4. D
    Taking off the respirator mask before removing heavily contaminated gloves to communicate more clearly with clients.

Cevap

Assisting stable, ambulatory clients with removing their contaminated clothing in the designated decontamination area.
The correct answer involves performing a predictable, standard task on stable clients. Removing contaminated clothing in a decontamination zone is a safe, basic care task that falls well within the practical nurse's scope of practice during a hazardous materials emergency.

Adım Adım Çözüm

1
Identify the role and scope of practice of the practical nurse (PN) during a mass casualty or hazardous material incident.
The PN scope of practice includes caring for stable clients and performing routine, predictable tasks.
Emergency situations do not expand the legal scope of practice; PNs must still adhere to safe delegation guidelines.
2
Evaluate the tasks involving initial triage and IV push medications.
Both tasks require advanced assessment, clinical judgment, or specialized skills that exceed the PN scope of practice.
Primary triage and emergency IV push administration are legally restricted to RNs and providers.
3
Analyze the personal protective equipment (PPE) doffing sequence.
Removing a mask before contaminated gloves is an unsafe sequence.
Touching the face or mask with contaminated gloves leads to direct chemical exposure.
4
Assess the task of helping stable clients remove contaminated clothing.
This action is deemed safe and appropriate.
It involves a standard, predictable intervention for stable clients, matching the foundational PN scope of practice.

Anahtar Kavram

Practical Nurse Scope of Practice in Emergency Response
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Konular

Emergency Response and Hazardous Materials

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