Question

Difficulty: MediumStandard and Transmission-Based Precautions

A practical nurse is assigned to a medical-surgical unit caring for clients with diverse infectious conditions. Which action by the nurse demonstrates the correct application of transmission-based precautions?

  1. Leaving a dedicated reusable blood pressure cuff and stethoscope inside the room of a client with a methicillin-resistant Staphylococcus aureus (MRSA) infection.Answer
  2. B
    Removing the protective surgical mask prior to taking off the isolation gown and gloves when exiting the room of a client who has seasonal influenza.
  3. C
    Directing the unlicensed assistive personnel (UAP) to provide initial instruction to visitors about hand hygiene rules for a client with Clostridioides difficile.
  4. D
    Placing an N95 respirator on a client with active pulmonary tuberculosis who requires transport through the public hallway to the radiology department.

Answer

The correct action is to dedicate specific medical equipment, such as a blood pressure cuff and stethoscope, solely for the use of a client on contact precautions for MRSA.
Methicillin-resistant Staphylococcus aureus (MRSA) requires contact precautions. To effectively prevent the transmission of microorganisms to other clients and unit surfaces, healthcare workers must use dedicated, single-use, or reusable equipment that remains in the client's room. This equipment is thoroughly disinfected only upon the client's discharge or discontinuation of precautions.

Step-by-Step Solution

1
Analyze the transmission route and required precautions for methicillin-resistant Staphylococcus aureus (MRSA).
Identify that MRSA requires contact precautions.
MRSA is primarily transmitted through direct physical contact with the client or indirect contact with contaminated surfaces in their environment.
2
Evaluate the standard nursing interventions required for contact precautions.
Determine that medical equipment must be dedicated to the client.
Leaving dedicated, reusable equipment in the client's room prevents the transfer of infectious pathogens to other clients via shared items.

Key Concept

Standard and Transmission-Based Precautions
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