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Difficulty: EasyStandard and Transmission-Based Precautions

A practical nurse is preparing to enter the room of a client who requires airborne and contact precautions. In what order should the nurse don the following personal protective equipment (PPE)? Arrange the items in the correct sequence from first to last.

  1. 1Isolation gown
  2. 2N95 respirator
  3. 3Face shield or goggles
  4. 4Clean gloves

Answer

The correct donning sequence is: isolation gown, followed by the N95 respirator, then the face shield or goggles, and finally the clean gloves.
According to standard infection control guidelines, personal protective equipment should be donned in a specific sequence to ensure maximum protection and prevent contamination. The gown is put on first to cover the body, followed by respiratory protection (such as an N95 respirator), then eye protection (goggles or a face shield), and finally gloves. The gloves must be put on last so they can cover the cuffs of the gown, ensuring no skin is exposed.

Step-by-Step Solution

1
Put on the isolation gown.
The torso and clothing are covered.
The gown serves as the base layer of contact protection and must be secured before adding other items.
2
Put on the N95 respirator.
The airway is protected.
Respiratory protection is established before facial protection to ensure a proper seal against the skin.
3
Put on the face shield or goggles.
The mucous membranes of the eyes are protected.
Eye protection sits over the respirator straps and face.
4
Put on clean gloves.
The hands are protected and the gown cuffs are sealed.
Gloves must go on last so they can be extended over the gown cuffs, preventing any skin exposure at the wrists.

Key Concept

Standard Sequence for Donning Personal Protective Equipment (PPE)
Estimated Time:45s
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Topics

Standard and Transmission-Based Precautions

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