The nurse comes across a group (four individuals) overcome by a toxic gas substance and unconscious. Place the nursing action in order of what the nurse would do first? (Use all options.)
A) Eliminate the source of the toxic gas.
B) Begin first aid or supportive measures.
C) Assess the clients for spontaneous breathing.
D) Call 911 for emergency assistance.
E) Move the clients to fresh air.
A, B, C, D, E
Feedback:
The first action is to eliminate the source of the toxic gas. If not, the nurse could be overcome by the gas also. Next, the nurse would move the clients to fresh air, getting oxygen into the system, if breathing spontaneously. Next, assess each client's respiratory status and if spontaneous breathing is present. Provide rescue breathing if breathing is not present. Call 911 and report client assessment findings and nursing measures already provided. Begin first aid or supportive measures, as directed, until assistance occurs.
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