Question

Difficulty: MediumStandard and Transmission-Based Precautions

While responding to a call light for a client on strict contact and droplet isolation, a practical nurse gathers the required protective garments: a fluid-impermeable gown, a procedural mask, face goggles, and clean nitrile gloves. In what specific order should the nurse apply these items to establish an effective barrier?

  1. Fasten the fluid-impermeable gown, secure the procedural mask, position the face goggles, and apply the nitrile gloves.Answer
  2. B
    Secure the procedural mask, fasten the fluid-impermeable gown, position the face goggles, and apply the nitrile gloves.
  3. C
    Apply the nitrile gloves, fasten the fluid-impermeable gown, secure the procedural mask, and position the face goggles.
  4. D
    Fasten the fluid-impermeable gown, position the face goggles, secure the procedural mask, and apply the nitrile gloves.

Answer

The correct sequence is to first don the gown, followed by the mask, then the goggles, and finally the gloves.
According to the Centers for Disease Control and Prevention (CDC) infection control protocols, the gown is donned first to cover the torso and uniform. The mask is applied next to protect the respiratory tract, followed by eyewear to protect the mucous membranes of the eyes. Gloves are applied last so they can be pulled tightly over the cuffs of the gown, creating a continuous, unbroken barrier.

Step-by-Step Solution

1
Identify the goal of donning personal protective equipment (PPE).
The goal is to protect the healthcare worker's clothing and mucous membranes while ensuring the gloves remain clean for patient contact.
Understanding the purpose of each barrier dictates the logical sequence of application.
2
Recall the CDC-recommended sequence for donning PPE.
The standardized order is: Gown, Mask or Respirator, Goggles or Face Shield, and Gloves.
This sequence ensures the largest item (gown) is secured first, followed by facial protection, ending with gloves that are pulled over the gown cuffs to seal the barrier.

Key Concept

Standardized PPE Donning Sequence
Estimated Time:1m 0s
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