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Zorluk: OrtaEmergency Response and Hazardous Materials

A practical nurse (PN) is working at an outpatient clinic when a large jug of concentrated liquid pool chlorine shatters in the main corridor, releasing a dense, irritating gas. A client waiting nearby begins coughing forcefully and gasping for air. Which action should the PN take first?

  1. Evacuate the gasping client immediately from the corridor to an area with uncontaminated air.Cevap
  2. B
    Accept a directive from the clinic manager to independently triage all individuals exposed to the chemical gas.
  3. C
    Offer the client a prescribed as-needed oral analgesic to relieve their severe throat and chest discomfort.
  4. D
    Tell the client, "Try to calm down; the fumes will clear up soon and everything is going to be completely fine."

Cevap

Evacuate the gasping client immediately from the corridor to an area with uncontaminated air.
The correct action prioritizes the client's airway, breathing, and immediate safety. In the presence of a hazardous chemical spill with airborne toxic fumes, the first step in emergency response is to remove individuals from the immediate danger zone to prevent further exposure and stabilize their respiratory status.

Adım Adım Çözüm

1
Analyze the scenario to identify the primary threat.
A hazardous chemical gas is actively compromising the client's airway and breathing.
Identifying the source of harm determines the immediate priority of care.
2
Apply the principles of basic life support and disaster response.
The priority is scene safety and removing the client from the source of the toxic exposure.
Airway and breathing cannot be stabilized if the client remains in a hazardous environment.
3
Evaluate the nursing actions against the PN scope of practice.
Moving a client to safety is an independent, life-saving action within the PN scope, whereas independent mass triage is not.
Nurses must prioritize immediate rescue while remaining within their legal scope of practice.

Anahtar Kavram

Emergency Rescue and Airway Protection in Hazardous Exposures
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