Question

Difficulty: MediumStandard and Transmission-Based Precautions

A provider prescribes transmission-based precautions for a client newly diagnosed with *Neisseria meningitidis*. As the practical nurse coordinates care for the shift, which action should be implemented?

  1. Assigning the unlicensed assistive personnel (UAP) to deliver the client's meal tray while wearing a standard surgical maskAnswer
  2. B
    Instructing the UAP to remove their surgical mask prior to taking off their soiled gloves when exiting the client's room
  3. C
    Delegating the ongoing assessment of the client's neurological status and pupillary response to the UAP
  4. D
    Explaining the specific bacterial diagnosis to the client's roommate to justify why isolation protocols have been initiated

Answer

Assigning the unlicensed assistive personnel (UAP) to deliver the client's meal tray while wearing a standard surgical mask is the correct action.
Neisseria meningitidis is transmitted via large respiratory droplets, necessitating droplet precautions. This protocol requires healthcare workers to wear a standard surgical mask when entering the room or coming within 3 feet of the client. Delivering a meal tray is a safe, routine task that falls appropriately within the UAP's scope of practice as long as the correct personal protective equipment is utilized.

Step-by-Step Solution

1
Identify the mode of transmission for Neisseria meningitidis.
The pathogen is transmitted via large respiratory droplets, which requires Droplet Precautions.
Identifying the correct precaution type dictates the required personal protective equipment (PPE).
2
Determine the appropriate PPE for Droplet Precautions.
A standard surgical mask is required when entering the room or interacting within 3 feet of the client.
Surgical masks effectively block large respiratory droplets from reaching the healthcare worker's mucous membranes.
3
Evaluate the proposed nursing actions for safety and scope of practice.
Delivering a meal tray while wearing a surgical mask is within the UAP's scope of practice and adheres to infection control standards.
Other actions present critical errors involving incorrect PPE doffing sequences, out-of-scope delegation of nursing assessments, and breaches of client confidentiality.

Key Concept

Droplet precautions require a standard surgical mask, and any tasks delegated to UAPs must fall strictly within their non-clinical scope of practice.
Estimated Time:1m 0s
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