A practical nurse (PN) is assigned to care for a client who has active pulmonary tuberculosis and a secondary wound infection with methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the practical nurse take? Select all that apply.
- Apply a fit-tested N95 respirator, gown, and gloves before entering the client's room.Answer
- Keep the door to the client's room closed to maintain negative-pressure airflow.Answer
- Place a standard surgical mask on the client if transport to the radiology department is required.Answer
- DRemove the N95 respirator inside the room immediately after doffing the gown and gloves.
- EDevelop the initial infection control education plan for the client and visiting family members.
- FPost an isolation sign on the client's door that specifies the diagnoses of tuberculosis and MRSA to alert entering staff.
Answer
The practical nurse should apply an N95 respirator, gown, and gloves before entry; keep the negative-pressure room door closed; and place a standard surgical mask on the client during transport.
Active pulmonary tuberculosis requires airborne precautions (using an N95 respirator, maintaining a negative-pressure room with the door closed, and placing a surgical mask on the client during transport). MRSA requires contact precautions (donning a gown and gloves upon entry). The correct interventions accurately combine these two transmission-based precaution protocols while remaining within the practical nurse's scope of practice.
Step-by-Step Solution
Key Concept
Clients with multiple transmissible infections require a synthesis of isolation protocols. Care must also align with the LPN/LVN scope of practice and confidentiality standards.