When clients arrive from a chemical explosion, what should the nurse do first?

In the context of a chemical explosion, ensuring the safety of the clients and preventing further contamination is paramount. Removing the clients' clothing and having them shower is the first critical step because clothing can harbor and retain harmful chemicals, which poses a risk not only to the affected individuals but also to healthcare providers and other patients in the facility. This decontamination process aims to minimize exposure to toxic substances that may have adhered to the skin or clothing.

The act of showering also helps to remove chemical agents and reduces the risk of secondary contamination. Prompt and thorough decontamination is essential in emergency situations involving hazardous materials, as contaminants can lead to serious health issues if not addressed immediately.

While triaging clients and sending them to appropriate areas is important, it should not take precedence over ensuring that they are decontaminated first. Washing with soap and water is also a good practice but may not be as effective without the first step of removing contaminated clothing. Assuming that clients have been decontaminated at the plant could lead to significant underestimation of their exposure levels and potentially severe health consequences. Therefore, the immediate focus should be on removing clothing and performing a thorough shower to ensure their safety and the safety of others.