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Difficulty: EasyStandard and Transmission-Based Precautions

Before entering the isolation room of a pediatric client diagnosed with respiratory syncytial virus (RSV), a practical nurse gathers the necessary personal protective equipment (PPE). The infection control protocol requires both contact and droplet precautions. Which item of PPE should the nurse put on first?

  1. A
    A standard surgical mask
  2. B
    Non-sterile examination gloves
  3. A clean isolation gownAnswer
  4. D
    A protective face shield

Answer

A clean isolation gown
According to standardized infection control procedures, the correct sequence for donning personal protective equipment is to first apply the isolation gown. This ensures the nurse's uniform is fully covered and provides a clean, safe base before applying the mask, eye protection, and gloves. Gloves are always applied last so they can be pulled securely over the cuffs of the gown.

Step-by-Step Solution

1
Identify the required PPE for contact and droplet precautions.
The required PPE includes a gown, surgical mask, face shield or goggles, and gloves.
RSV transmission requires barriers against both direct contact and respiratory droplets.
2
Recall the standard sequence for donning PPE.
The correct sequence is: gown, mask or respirator, goggles or face shield, and then gloves.
This specific sequence prevents contamination of the equipment and ensures full coverage.
3
Determine the first item to be applied.
The clean isolation gown is selected as the initial item.
Applying the gown first provides a protective base layer over the uniform before handling facial PPE or applying gloves.

Key Concept

Sequence for Donning Personal Protective Equipment (PPE)
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Topics

Standard and Transmission-Based Precautions

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