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Zorluk: OrtaEmergency Response and Hazardous Materials

A practical nurse (PN) is working in an outpatient endocrinology clinic. A client who received a therapeutic oral dose of radioactive iodine-131 one hour ago suddenly vomits on the floor in the main waiting area. Which of the following is the priority initial action for the PN to take?

  1. Clear all other individuals from the immediate vicinity and physically block access to the spill.Cevap
  2. B
    Instruct unlicensed assistive personnel to place absorbent pads directly over the fluid.
  3. C
    Don a fluid-resistant gown and standard examination gloves to immediately mop up the emesis.
  4. D
    Loudly announce the client's radioactive treatment status to ensure bystanders evacuate quickly.

Cevap

The priority initial action is to secure the area by clearing other individuals from the vicinity and restricting access to the spill.
When a hazardous radioactive spill occurs, the primary goal is to minimize radiation exposure based on the principles of time, distance, and shielding. Clearing the area and blocking access safely maximizes distance for bystanders and prevents the spread of contamination until the facility's Radiation Safety Officer can direct the specialized cleanup.

Adım Adım Çözüm

1
Identify the nature of the hazard.
The nurse recognizes that bodily fluids from a client recently treated with radioactive iodine-131 constitute a hazardous radioactive spill.
Accurate identification of the hazard dictates the required emergency response protocol.
2
Apply the principles of radiation safety.
The nurse prioritizes maximizing distance between the radioactive source and all bystanders.
Distance is the most immediate and effective way to reduce radiation exposure in a sudden spill.
3
Secure the contaminated environment.
The nurse evacuates the immediate area and blocks access to the hallway.
Securing the area prevents cross-contamination and unintended exposure while awaiting the facility's Radiation Safety Officer or specialized HazMat team.

Anahtar Kavram

In the event of a radioactive or hazardous material spill, the immediate priority is to ensure scene safety by maximizing distance from the source and restricting access to prevent exposure to others.
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