A landscaper presents to his primary care provider's office with a complaint of fertilizer exposure to his skin 15 minutes ago. What is the BEST course of action the nurse can take?
a. Copiously irrigate the area for at least 30 minutes, and send the client to the emergency department.
b. Send the client directly to the emergency department.
c. Direct the client to go home and shower; alert him to the symptoms of exposure and if he observes any the next day, ask him to visit the office again.
d. Encourage the client to increase his fluid intake to flush out the toxins.
a. Copiously irrigate the area for at least 30 minutes, and send the client to the emergency department.
FEEDBACK:
a. Copiously irrigate the area for at least 30 minutes, and send the client to an emergency care facility. Immediate irrigation is the recommended initial treatment as to dilute the chemical. Further evaluation may be needed, as alkali injuries can damage the tissue through liquefaction necrosis and protein denaturation, causing deeper injury to the tissue.
b. The client should be sent to an emergency care facility after irrigation. .
c. This is not the correct approach, because further tissue damage may not be apparent just by observing the skin. .
d. This is not the preferred approach. .
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