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Zorluk: OrtaEmergency Response and Hazardous Materials

A practical nurse (PN) enters the private room of a client who received a therapeutic dose of radioactive iodine (I-131) for thyroid cancer earlier in the day. The PN discovers that the client has vomited a large amount of fluid onto the floor near the bed. The client is resting quietly and indicates they feel much better. Which of the following is the priority action for the PN?

  1. Place absorbent pads over the spill, instruct the client to remain in bed, and immediately notify the charge nurse.Cevap
  2. B
    Don a gown, double gloves, and a face shield to promptly mop the area using a bleach-based hospital disinfectant.
  3. C
    Delegate the cleanup of the emesis to the environmental services staff while focusing on comforting the client.
  4. D
    Immediately auscultate the client's lung sounds to rule out aspiration of the radioactive emesis.

Cevap

Place absorbent pads over the spill, instruct the client to remain in bed, and immediately notify the charge nurse.
The priority action when dealing with a radioactive spill, such as bodily fluids from a client who recently received radioactive iodine (I-131), is to limit exposure and prevent the spread of contamination. Placing absorbent pads over the spill contains the material from spreading. Instructing the client to stay in bed prevents them from stepping in the emesis and tracking radiation throughout the facility. Finally, notifying the charge nurse immediately ensures that the facility's Radiation Safety Officer is alerted so that specialized hazmat cleanup procedures are properly initiated.

Adım Adım Çözüm

1
Assess the immediate environment and client status.
The nurse identifies a radioactive bodily fluid spill (hazardous material) and notes the client is not in acute physiological distress.
Determines whether life-saving medical intervention is needed before environmental hazard containment.
2
Apply the principles of radiation safety (time, distance, and shielding) to the situation.
The nurse recognizes the need to spend as little time as possible near the radiation source and to maintain a safe distance.
Protecting healthcare personnel from unnecessary radiation exposure is a primary safety mandate.
3
Implement immediate containment without initiating full cleanup.
The nurse covers the spill with absorbent pads to prevent spreading and keeps the client in bed so radioactive material is not tracked around the room.
Radioactive spills require specific decontamination protocols usually coordinated by the facility's Radiation Safety Officer (RSO).
4
Escalate the situation to the appropriate supervisory staff.
The PN notifies the charge nurse, who will contact the RSO and arrange for appropriate radioactive cleanup and disposal.
The PN operates within their scope by recognizing the hazard, providing initial containment, and notifying the RN or specialized team.

Anahtar Kavram

Radiation Spill Safety and Priority Containment
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Konular

Emergency Response and Hazardous Materials

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