Question

Difficulty: MediumStandard and Transmission-Based Precautions

A client arrives at the medical unit with a suspected Neisseria meningitidis infection, presenting with a high fever and nuchal rigidity. Which infection control interventions should the practical nurse implement? Select all that apply.

  1. Assign the client to a single-patient private room.Answer
  2. Ensure the client wears a standard surgical mask during transport outside the room.Answer
  3. C
    Don a fit-tested N95 respirator mask before entering the client's room.
  4. D
    Wear a clean isolation gown and gloves for all routine client interactions.
  5. Instruct visitors to wear a standard surgical mask when in the client's room.Answer
  6. F
    Maintain negative-pressure airflow in the client's room with the door tightly closed.

Answer

The correct interventions are assigning the client to a single-patient private room, ensuring the client wears a surgical mask during transport, and instructing visitors to wear a surgical mask when inside the room.
Neisseria meningitidis is transmitted via large respiratory droplets. Appropriate droplet precautions include placing the client in a private room, ensuring the client wears a standard surgical mask when transport is necessary to contain secretions, and requiring anyone entering the room, including visitors, to wear a surgical mask to prevent inhalation of droplets.

Step-by-Step Solution

1
Identify the mode of transmission for the suspected pathogen.
Neisseria meningitidis causes meningococcal meningitis, which is transmitted through large respiratory droplets.
Determining the transmission route is necessary to select the correct isolation precautions.
2
Determine the required environmental and personal protective equipment (PPE) interventions.
Droplet precautions require placing the client in a private room and the use of a standard surgical mask for anyone entering the room.
Large respiratory droplets travel short distances (usually within 3 feet) and do not require airborne isolation or contact PPE unless splashing is expected.
3
Select the appropriate actions for client transport and visitors.
The client must wear a surgical mask for source control during transport, and all visitors must wear a surgical mask to prevent inhalation of droplets.
Source control and visitor protection are essential components of standard droplet precaution guidelines.

Key Concept

Droplet Precautions
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