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    Med Surg Proctored Exam(Exemplify)

    A client presents to the emergency department following a chemical burn from an industrial solvent. What is the nurse's priority intervention?

    Explanation & Rationale

    Chemical burns from industrial solvents require immediate intervention to prevent ongoing tissue damage caused by continued chemical reaction with the skin. Unlike thermal burns, chemical agents may continue to destroy tissue until they are adequately removed or diluted. Emergency management focuses on rapid decontamination to limit depth of injury and systemic absorption of the chemical. Prompt irrigation is the most critical first action in reducing further harm. Rationale: A. Initiating running water irrigation of the affected area is the priority intervention because it rapidly dilutes and removes the chemical agent from the skin. Continuous flushing helps stop the ongoing tissue destruction caused by the industrial solvent. Early decontamination significantly reduces burn depth, systemic absorption, and long-term complications. B. Administering liberal oral fluids may be important later for hydration support, but it does not address the immediate chemical injury. The primary concern in chemical burns is stopping ongoing tissue damage at the site of exposure. Fluid administration becomes secondary after decontamination and stabilization of the burn area. C. Covering the burn with a sterile dressing immediately is not the priority because it may trap the chemical agent against the skin. This can prolong exposure and worsen tissue damage if decontamination has not been completed. Dressing application is only appropriate after thorough irrigation and removal of the chemical substance. D. Performing a pain assessment and administering analgesics is important in burn management but is not the first priority in chemical burns. Ongoing tissue destruction must be stopped before focusing on comfort measures. Analgesia is provided after initial decontamination to ensure the underlying cause of pain has been addressed.

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