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Difficulty: MediumStandard and Transmission-Based Precautions

A practical nurse (PN) is assigned to care for an infant who is admitted with respiratory syncytial virus (RSV). The facility policy requires both contact and droplet precautions for this diagnosis. Which of the following infection control actions should the PN take? (Select all that apply.)

  1. Put on a surgical mask, gown, and clean gloves before entering the client's room.Answer
  2. Dedicate noncritical medical equipment, such as a stethoscope, exclusively for use on this client.Answer
  3. Remove the gown and gloves inside the client's room prior to exiting.Answer
  4. D
    Remove the surgical mask first before removing the contaminated gown and gloves.
  5. E
    Doff the contaminated gown and gloves in the hallway immediately after leaving the room.
  6. F
    Wash the gloved hands with soap and water before removing the gown.

Answer

The correct actions are to put on a surgical mask, gown, and clean gloves before entering the room; dedicate noncritical medical equipment exclusively for this client; and remove the gown and gloves inside the client's room prior to exiting.
Clients with RSV require both contact and droplet precautions. Safe practice mandates donning a surgical mask, gown, and gloves prior to entering the room. To prevent cross-contamination, noncritical equipment must be dedicated to the client, and contaminated PPE (gown and gloves) must be removed inside the room before exiting.

Step-by-Step Solution

1
Identify the required precautions for the specified pathogen.
RSV requires both contact and droplet precautions.
RSV is transmitted through large respiratory droplets and by direct or indirect contact with contaminated secretions or surfaces.
2
Determine the appropriate personal protective equipment (PPE) for donning.
A surgical mask (droplet), along with a gown and gloves (contact), must be put on before entering the room.
Preventing exposure requires creating a barrier before entering the contaminated environment.
3
Establish the correct protocol for equipment use and PPE doffing.
Equipment must be dedicated to the client, and PPE (except respirators) must be removed inside the room in the correct sequence.
Dedicating equipment and doffing inside the room prevents cross-contamination of other clients and clean facility areas.

Key Concept

Standard and Transmission-Based Precautions for Contact and Droplet Isolation
Estimated Time:1m 30s
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Topics

Standard and Transmission-Based Precautions

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