During the morning shift, a nurse is assigned to a client undergoing treatment for active pulmonary tuberculosis who has newly developed frequent, watery stools. The healthcare provider suspects a Clostridioides difficile infection. Which infection control interventions must the nurse implement? (Select all that apply.)
- Don an N95 respirator, a fluid-resistant gown, and gloves prior to entering the client's negative-pressure room.Answer
- BPerform hand hygiene using an alcohol-based hand rub immediately after exiting the room.
- CRemove the N95 respirator inside the client's room immediately after doffing the gown and gloves.
- Ensure the client wears a standard surgical mask if transport outside the negative-pressure room is necessary.Answer
- Retain dedicated vital sign equipment, such as a stethoscope and thermometer, exclusively inside the client's room.Answer
- FRequest reassignment of the client to a registered nurse, as dual isolation requirements exceed the practical nursing scope of practice.
Answer
The nurse must don an N95 respirator, gown, and gloves prior to entry; ensure the client wears a surgical mask during transport; and keep dedicated vital sign equipment in the room.
The combination of tuberculosis and suspected C. difficile necessitates both airborne and contact precautions. This means the nurse must don an N95 respirator, gown, and gloves before entry. Dedicated equipment must remain in the room to prevent contact transmission, and the client must wear a standard surgical mask during transport to prevent airborne transmission.
Step-by-Step Solution
Key Concept
Synthesis of Airborne and Contact Precautions