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Question

Difficulty: MediumStandard and Transmission-Based Precautions

A practical nurse is preparing to provide morning care for a pediatric client admitted with a confirmed diagnosis of measles (rubeola). Which of the following infection control measures must the nurse implement?

  1. Wear a fit-tested N95 respirator or higher-level respiratory protection when entering the room.Answer
  2. B
    Apply a standard surgical face mask and clean gloves only if coming within 3 feet of the client.
  3. C
    Ensure the client's room door remains open to promote adequate environmental air circulation.
  4. D
    Don a disposable isolation gown and shoe covers before crossing the threshold of the room.

Answer

The nurse must wear a fit-tested N95 respirator when entering the client's room.
Measles (rubeola) is transmitted through the airborne route. According to infection control guidelines, healthcare personnel must wear a fit-tested N95 respirator or a powered air-purifying respirator (PAPR) when entering the room of a client on airborne precautions to filter out microscopic infectious particles.

Step-by-Step Solution

1
Identify the transmission route for the specific pathogen.
Measles (rubeola) is highly contagious and transmitted via the airborne route.
Different pathogens require specific isolation protocols based on how they spread.
2
Determine the required precautions for airborne transmission.
Airborne precautions require a private room with negative air pressure (AIIR) and the use of an N95 respirator or higher for anyone entering.
Airborne particles are small enough to bypass standard surgical masks and can remain suspended in the air over long distances.
3
Evaluate the options against standard airborne precaution protocols.
Wearing an N95 respirator upon entry aligns with airborne precaution requirements.
Surgical masks and open doors violate airborne protocols, and gowns are unnecessary unless contact precautions are also indicated.

Key Concept

Airborne Precautions Requirements
Estimated Time:1m 0s
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Topics

Standard and Transmission-Based Precautions

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