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Difficulty: EasyStandard and Transmission-Based Precautions

A newly admitted client has a draining leg wound that recently cultured positive for methicillin-resistant Staphylococcus aureus (MRSA). Which personal protective equipment (PPE) must the practical nurse don before entering the client's room?

  1. A clean gown and glovesAnswer
  2. B
    A surgical mask and gloves
  3. C
    An N95 respirator and a clean gown
  4. D
    Clean gloves and sterile shoe covers

Answer

A clean gown and gloves
Methicillin-resistant Staphylococcus aureus (MRSA) is an organism transmitted via direct physical contact with the client or indirect contact with contaminated environmental surfaces. To prevent cross-contamination and healthcare-associated infections, contact precautions are strictly required. The CDC guidelines for contact precautions mandate that healthcare workers don a clean isolation gown and gloves before entering the client's room.

Step-by-Step Solution

1
Identify the pathogen and its specific mode of transmission.
Methicillin-resistant Staphylococcus aureus (MRSA) is a multidrug-resistant organism that is transmitted primarily through direct and indirect physical contact.
Understanding the transmission route is necessary to select the appropriate category of isolation precautions.
2
Determine the CDC-recommended precautions for the identified transmission route.
Contact precautions must be implemented for this client.
Standard protocols require contact precautions for all clients with known or suspected infections from epidemiologically important microorganisms spread by direct or indirect contact.
3
Select the required Personal Protective Equipment (PPE) for contact precautions.
The nurse must don a clean gown and gloves before entering the client's room.
The gown protects the uniform from contamination, and the gloves protect the hands when touching the client or potentially contaminated environmental surfaces.

Key Concept

Personal Protective Equipment Selection for Contact Precautions
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Topics

Standard and Transmission-Based Precautions

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