The nurse is a member of a disaster team responding to a chemical disaster. The nurse assesses clients in a systematic fashion, concentrating on their ability to breathe. When entering the evacuation site, before the physical assessments, the nurse should
A) Don PPE
B) Interview the client
C) Report to the hot zone
D) Request a HAZMAT expert to witness the client assessment
Ans: A
Feedback:
In the field, the public health nurse's response to a chemical incident is summed up in two words: "act quickly." Hazardous materials (HAZMAT) experts report to the hot zone on notification of the release of the chemical. The nurse may be asked to report to a temporary evacuation site, not the hot zone, where people exposed to the chemical are awaiting triage. Donning PPE must be the first priority. Then assessment of the victim's ability to breathe is necessary. Maintaining adequate respiratory function tops the list for effective client management in a chemical event. Keeping the victims in a sitting position with constrictive clothing loosened or removed is necessary. If the client cannot sit, the torso should be elevated. Interviewing the client should come later. There is no need to have a HAZMAT expert witness the client assessment.
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