Question

Difficulty: EasyStandard and Transmission-Based Precautions

The nurse is receiving report on four clients admitted to the medical-surgical unit. Match each client condition with the primary infection control precaution category required.

  • Active pulmonary tuberculosisAirborne Precautions
  • Clostridioides difficile (C. diff) infectionContact Precautions
  • Seasonal influenzaDroplet Precautions
  • Routine vital signs for a client with HIVStandard Precautions

Answer

Active pulmonary tuberculosis matches Airborne Precautions; C. diff matches Contact Precautions; Seasonal influenza matches Droplet Precautions; Routine vital signs for HIV matches Standard Precautions.
Matching each condition to its transmission route correctly aligns with CDC guidelines for isolation precautions: airborne for TB, contact for C. diff, droplet for influenza, and standard for routine care without body fluid exposure.

Step-by-Step Solution

1
Analyze the mode of transmission for active pulmonary tuberculosis.
Identified as airborne transmission.
Determines the need for Airborne Precautions.
2
Analyze the mode of transmission for C. difficile.
Identified as direct/indirect contact with spores.
Determines the need for Contact Precautions.
3
Analyze the mode of transmission for seasonal influenza.
Identified as large respiratory droplet transmission.
Determines the need for Droplet Precautions.
4
Assess the risk of transmission for routine care of a client with HIV.
No exposure to blood or body fluids is expected during routine vital signs.
Determines that Standard Precautions are appropriate.

Key Concept

Selecting appropriate infection control categories based on the pathogen's mode of transmission is essential to prevent healthcare-associated infections.
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