An occupational health nurse practitioner's physical assessment of a factory worker identifies an acute-onset pruritic dermatitis extending over the face, hands, neck, and forearms. The nurse's priorities should be to do which of the following?
Immediately evacuate the worker's nearby workspace and treat the worker and other potentially exposed workers.
Contact factory senior management to initiate education about workplace safety and exposure and clean the area.
Treat the client and obtain a comprehensive exposure history, then assess other workers who were potentially exposed.
Contact the Occupational Safety and Health Administration immediately and remove the offending chemical in the work environment.
The Correct Answer is C
Rationale:
A. Evacuating the workspace may be premature without understanding the cause and extent of exposure. Immediate treatment is essential, but a comprehensive approach is needed.
B. Contacting management and cleaning the area are important but do not address the immediate need to treat the worker or investigate exposure.
C. Treating the client and obtaining a comprehensive exposure history is crucial for identifying the cause and planning further actions. Assessing other potentially exposed workers ensures broader safety.
D. Contacting OSHA is important for regulatory issues, but immediate patient care and investigation should take precedence to address the worker's current health needs.
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Correct Answer is ["A","B","C","D"]
Explanation
Rationale:
A. Conducting health screenings and providing immunizations are common responsibilities of occupational health nurses to maintain employee health.
B. Monitoring compliance with OSHA regulations is crucial for ensuring a safe working environment.
C. Developing and implementing safety and health programs helps prevent workplace injuries and illnesses.
D. Administering first aid and managing minor injuries are direct responsibilities related to immediate employee care.
E. Long-term psychological counseling and therapy are typically beyond the scope of occupational health nursing and may be referred to specialized mental health professionals.
Correct Answer is C
Explanation
Rationale:
A. Avoiding discussion of past experiences may not address the underlying causes of aggression and could prevent the teenager from processing their trauma.
B. Strict disciplinary measures may not address the root causes of aggression and could exacerbate the teenager's behavior.
C. Providing a safe and non-judgmental environment allows the teenager to express their feelings and address underlying issues contributing to aggression, which is essential for effective intervention.
D. Suppressing anger may not be effective in resolving underlying issues and could lead to further emotional problems.