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Difficulty: EasyStandard and Transmission-Based Precautions

Upon receiving an assignment to care for a client with seasonal influenza and a secondary Methicillin-resistant Staphylococcus aureus (MRSA) wound infection, a practical nurse gathers the required protective supplies. The isolation protocol mandates a gown, gloves, a medical mask, and a face shield. Which item must the nurse don first before initiating client care?

  1. A fluid-resistant gownAnswer
  2. B
    A medical mask
  3. C
    A pair of disposable gloves
  4. D
    A clear face shield

Answer

The practical nurse must don the fluid-resistant gown first before applying any other protective items.
According to standardized infection control guidelines, the proper sequence for donning personal protective equipment begins with the gown. This establishes the primary barrier for the torso and arms. Afterward, the nurse applies the mask, followed by eye protection, and finally the gloves, ensuring the gloves cover the cuffs of the gown.

Step-by-Step Solution

1
Identify the required personal protective equipment for the client's prescribed precautions.
A gown, mask, face shield, and gloves are necessary for the combined contact and droplet precautions.
This establishes the necessary barriers against MRSA and influenza transmission.
2
Recall the standardized sequential order for donning personal protective equipment.
The correct application sequence is gown, mask or respirator, goggles or face shield, and finally gloves.
Following the exact sequence prevents contamination and ensures components like glove cuffs correctly overlap the gown.

Key Concept

Personal Protective Equipment (PPE) Donning Sequence
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Topics

Standard and Transmission-Based Precautions

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