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Zorluk: OrtaHandling Hazardous and Infectious Materials

A nurse discovers that approximately 30 mL of a liquid antineoplastic (chemotherapy) medication has spilled onto the floor of a client's room due to a disconnected intravenous line. Which of the following actions should the nurse take to safely manage this hazardous spill? Select all that apply.

  1. Obtain a chemotherapy spill kit and put on the provided gown, double gloves, and face shield.Cevap
  2. B
    Delegate the cleanup of the spill to the facility's environmental services staff.
  3. Place the saturated absorbent pads into a rigid, designated hazardous waste container.Cevap
  4. D
    Use standard paper towels from the client's bathroom to quickly absorb the medication.
  5. Wash the affected floor area with a detergent solution and rinse with clear water after the spill is removed.Cevap
  6. F
    Leave the client's room unattended immediately to retrieve cleaning supplies from the soiled utility room.

Cevap

The nurse should obtain a chemotherapy spill kit and don appropriate PPE, place the contaminated materials into a designated hazardous waste container, and decontaminate the floor with a detergent solution.
Safely managing an antineoplastic (chemotherapy) spill requires the nurse to first secure the area and put on specialized personal protective equipment (such as a chemo gown, double gloves, and face shield) provided in a designated spill kit. The nurse must then use highly absorbent pads to contain the liquid, dispose of all contaminated items in a rigid hazardous drug waste container, and fully decontaminate the floor with a detergent solution to remove any residual toxicity.

Adım Adım Çözüm

1
Secure the spill area immediately.
Prevents unauthorized entry and accidental physical exposure.
Safety is the immediate priority to prevent the spread of the hazardous material by foot traffic.
2
Don specialized PPE from the spill kit.
The nurse is protected from toxic exposure.
Antineoplastic agents are highly toxic and can be absorbed through the skin, mucous membranes, or inhalation.
3
Contain and clean the spill using spill kit absorbents.
The hazardous liquid is safely absorbed without strike-through.
Specialized absorbent pads prevent liquid from seeping through to the nurse's gloves, ensuring complete containment.
4
Dispose of materials in a hazardous drug waste receptacle.
Contaminated items are properly isolated from the general waste stream.
Hazardous drugs require specific trace or bulk waste containers (often yellow or black) to comply with environmental and safety regulations.
5
Decontaminate the surface area.
All remaining chemical residue is removed.
Detergent and water cleaning prevents long-term environmental contamination in the client's room.

Anahtar Kavram

Safe handling and cleanup of antineoplastic (chemotherapy) spills requires securing the area, using a specialized spill kit with appropriate PPE, and disposing of materials in designated hazardous waste containers.
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