Difficulty: Medium
Average Score: 74%
Simulated
The home health nurse is assessing a client in their home with suspected carbon monoxide poisoning. The nurse should take which priority action?
Correct answer
A
Rationale
Moving the client outdoors (A) is the priority to remove them from the carbon monoxide source, preventing further toxicity. Notifying the PHCP (B), auscultating lungs (C), and assessing oximetry (D) follow after ensuring safety, as oximetry may be falsely normal in CO poisoning.