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Difficulty: EasyStandard and Transmission-Based Precautions

Prior to initiating care for a newly admitted client placed on contact and droplet precautions, the practical nurse must don appropriate protective gear. In what sequence should the nurse apply the following items? Arrange the steps in the correct order from first to last.

  1. 1Put on an isolation gown and secure all ties.
  2. 2Apply a surgical mask and adjust the nose piece.
  3. 3Place goggles or a face shield over the eyes.
  4. 4Don clean gloves and pull them over the gown cuffs.

Answer

The correct sequence for donning personal protective equipment is: gown, mask, goggles or face shield, and finally gloves.
The standardized sequence for donning personal protective equipment maximizes protection and minimizes the risk of contamination. The gown is applied first to cover the torso and arms. Next, the mask is secured to protect the respiratory tract. Eye protection is then added. Finally, gloves are donned and extended over the gown cuffs to complete the protective barrier.

Step-by-Step Solution

1
Put on the isolation gown.
The nurse's torso and clothing are protected.
The gown forms the largest barrier and must be secured before other facial PPE is applied.
2
Apply the surgical mask.
The nurse's respiratory tract is protected from large droplets.
The mask must be placed and adjusted before eye protection to ensure a proper fit over the bridge of the nose.
3
Place goggles or a face shield.
The nurse's eyes are protected from potential splashes or sprays.
Eye protection is placed over the mask and face to complete mucous membrane coverage.
4
Don clean gloves.
The nurse's hands are protected, and the wrist area is sealed.
Gloves are put on last so they can be pulled up securely over the cuffs of the gown, creating a continuous barrier.

Key Concept

The sequence for donning personal protective equipment (PPE) moves systematically from the largest body coverage to the face, ending with the hands.
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Topics

Standard and Transmission-Based Precautions

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