A patient is brought into the emergency department after an acute exposure to radiation from the local atomic power plant. The patient has skin burns on the face, arms, and neck. The nurse implements which priority intervention?
1. Prepare to administer a blood transfusion.
2. Determine amount of radiologic exposure.
3. Begin antibiotic therapy.
4. Provide support for the onset of hypotension and diarrhea.
2
Rationale 1: Blood transfusion may be necessary but is not the priority intervention.
Rationale 2: Most hospitals have Geiger counters to determine the presence or absence of radiation in the environment. The Geiger counter can be used to help assess the dose of radiation the patient received.
Rationale 3: Antibiotic therapy may be necessary but is not the priority intervention.
Rationale 4: Hypotension and diarrhea may develop, but this is not the priority intervention.
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