In an occupational exposure scenario with suspected contact dermatitis, the nurse's initial priority is to:

• A. Remove worker from area and discontinue exposure.
• B. Notify OSHA and remove chemical.
• C. Evacuate nearby workspace and treat all exposed.
• D. Obtain a comprehensive exposure history and assess the work environment to identify and eliminate sources of exposure.

Answer: (D)

In suspected occupational contact dermatitis, the most important first step is to gather a full exposure history and assess the work environment to identify where and how the worker was exposed and what substances are involved. This information pinpoints the likely irritant or allergen, the route and duration of exposure, and any gaps in protective measures. With that understanding, you can implement targeted controls—such as removing contaminated materials, improving engineering controls, substituting safer substances, and ensuring appropriate personal protective equipment—so exposure is actually eliminated. Actions like removing the worker or notifying authorities are important, but they’re most effective after identifying the exact sources to address. This initial assessment sets up effective prevention for this worker and others who might be at risk.