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 C
Explanation
Rationale:
A. While knowing previous knowledge and interest is useful, the priority is to ensure that the client can understand the educational materials.
B. Willingness to participate is important but secondary to ensuring that the material is accessible to the client.
C. Determining the client's ability to read and understand English is crucial as it affects their ability to comprehend pamphlets. If they cannot read or understand English, alternative methods of education should be used.
D. Readiness to learn is important but presupposes that the material can be understood; therefore, assessing language comprehension is a priority.
Correct Answer is C
Explanation
Rationale:
A. Appendicitis is a common condition and does not inherently increase the risk of fatal abuse.
B. A fractured humerus may be concerning but is not as high-risk for fatal abuse as younger children with significant disabilities.
C. A child with cerebral palsy, especially at a young age, is at higher risk of fatal abuse due to increased dependency and vulnerability.
D. Varicella (chickenpox) is a contagious disease but does not significantly increase the risk of fatal abuse.