Question

Difficulty: EasyStandard and Transmission-Based Precautions

During the shift report, it is noted that a newly admitted client requires airborne isolation for suspected pulmonary tuberculosis. When planning care for this client, which infection control practices must the practical nurse implement? Select all that apply.

  1. Keeping the door to the client's negative-pressure room closed at all times.Answer
  2. B
    Removing the N95 respirator immediately before exiting the client's room.
  3. Wearing a fit-tested N95 or higher-level respirator prior to entering the client's room.Answer
  4. Applying a standard surgical mask on the client if transport to another department is necessary.Answer
  5. E
    Accepting an assignment to administer an initial dose of intravenous push (IVP) antibiotics for the infection.

Answer

The appropriate infection control practices are keeping the negative-pressure room door closed, wearing an N95 respirator before entering, and masking the client during necessary transport.
For a client on airborne precautions, it is essential to keep the door closed to maintain negative room pressure, wear an N95 respirator prior to entry to filter airborne particles, and place a standard surgical mask on the client during transport for source control.

Step-by-Step Solution

1
Identify the transmission route and required isolation category for the given diagnosis.
Suspected pulmonary tuberculosis requires airborne precautions due to small droplet nuclei.
Matching the disease to the correct transmission-based precaution dictates the required environmental controls and personal protective equipment.
2
Evaluate the environmental and PPE requirements for airborne precautions.
A negative-pressure room with the door closed, staff use of an N95 respirator, and client use of a surgical mask during transport are identified as necessary measures.
These specific actions contain the pathogen at the source and protect healthcare workers from inhaling infectious particles.
3
Assess the incorrect actions against standard protocols and legal scope of practice.
Removing the mask inside the room violates correct doffing sequence, and IV push administration violates the practical nurse's scope of practice.
Maintaining client and staff safety requires adherence to both infection control sequencing and professional boundaries.

Key Concept

Airborne precautions require the use of a negative-pressure room with a closed door, an N95 respirator worn by staff, and a standard surgical mask worn by the client during transport.
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