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Difficulty: HardStandard and Transmission-Based Precautions

A 4-year-old client is admitted to an airborne infection isolation room (AIIR) with a suspected diagnosis of rubeola. The healthcare provider orders a stat portable chest radiograph. Which action should the practical nurse take to maintain proper infection control during this procedure?

  1. Require the radiologic technologist to don a fit-tested N95 respirator prior to entering the client's room.Answer
  2. B
    Provide a fitted N95 particulate respirator for the client to wear during the portable imaging procedure.
  3. C
    Ensure the technologist applies a standard medical mask, disposable gown, and clean gloves before patient contact.
  4. D
    Transfer the client to the main radiology suite with a standard face mask to prevent environmental contamination of the portable unit.

Answer

Require the radiologic technologist to don a fit-tested N95 respirator prior to entering the client's room.
Rubeola (measles) is highly contagious and is transmitted through airborne droplet nuclei. Strict airborne precautions are required, meaning any healthcare worker or ancillary staff member, including diagnostic personnel, must wear a fit-tested N95 respirator (or powered air-purifying respirator) before entering the airborne infection isolation room (AIIR). Performing the procedure at the bedside with portable equipment is the safest method to minimize the risk of spreading the virus throughout the healthcare facility.

Step-by-Step Solution

1
Identify the transmission route for the specified pathogen.
Rubeola (measles) is highly contagious and transmitted via airborne droplet nuclei.
Correct identification of the transmission route dictates the appropriate isolation precautions.
2
Determine the required isolation precautions and associated PPE.
Airborne precautions mandate placement in an Airborne Infection Isolation Room (AIIR) and the use of an N95 respirator by all entering healthcare personnel.
N95 respirators filter out the microscopic particles that standard surgical masks cannot.
3
Evaluate procedural safety and interdepartmental transport rules.
Diagnostic procedures should be conducted at the bedside using portable equipment to minimize hospital-wide exposure risks.
Moving an actively infectious airborne client through hallways exposes other vulnerable clients and staff unnecessarily.
4
Select the action that enforces these protocols.
Ensuring the visiting technologist wears an N95 respirator properly addresses the airborne risk during bedside imaging.
The nurse is responsible for ensuring all personnel, regardless of department, adhere to the unit's infection control standards.

Key Concept

Airborne Precautions and Interdepartmental Infection Control
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Topics

Standard and Transmission-Based Precautions

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