What initial action should a nurse take when they suspect carbon monoxide poisoning?

When a nurse suspects carbon monoxide poisoning, the most critical first action is to remove the client from the source of carbon monoxide. This step is paramount because the presence of carbon monoxide in the environment poses a continuous risk to the patient. By eliminating exposure, the nurse effectively halts the progression of poisoning, which is essential for safeguarding the patient’s health and safety.

Carbon monoxide binds to hemoglobin in the blood significantly more effectively than oxygen, leading to hypoxia and potentially life-threatening complications. If the source is not removed, any subsequent interventions or treatments may be futile, as the client would continue to be exposed to the toxic gas.

Other actions, such as administering intravenous fluids or performing a physical assessment, while important components of overall care, should be secondary to addressing the immediate threat of ongoing poisoning. Contacting a physician before taking action could lead to delays that can worsen the patient’s condition in an emergency situation like carbon monoxide poisoning. Therefore, prioritizing the removal from exposure is essential for ensuring appropriate and timely care.