Examkin

Question

Difficulty: EasyStandard and Transmission-Based Precautions

A nurse is admitting a client diagnosed with meningococcal meningitis. Which of the following transmission-based precautions should the nurse implement? Select all that apply.

  1. Place the client in a private room.Answer
  2. B
    Don an N95 particulate respirator before entering the room.
  3. Ensure the client wears a standard surgical mask during transport outside the room.Answer
  4. D
    Maintain the client in a negative-pressure isolation room.
  5. Wear a surgical mask when providing care within 3 feet of the client.Answer
  6. F
    Delegate the initial evaluation of the client's vital signs to the unlicensed assistive personnel (UAP).

Answer

Place the client in a private room, ensure the client wears a standard surgical mask during transport outside the room, and wear a surgical mask when providing care within 3 feet of the client.
Meningococcal meningitis is transmitted through large respiratory droplets. Therefore, Droplet precautions are indicated. These precautions mandate placing the client in a private room, healthcare personnel wearing a standard surgical mask when within 3 feet of the client, and placing a standard surgical mask on the client if transport out of the room is unavoidable. These measures effectively block the transmission of the pathogen.

Step-by-Step Solution

1
Identify the primary mode of transmission for meningococcal meningitis.
Meningococcal meningitis is transmitted via large respiratory droplets.
Understanding the transmission mode dictates the appropriate tier of isolation precautions to apply.
2
Determine the required transmission-based precautions.
Droplet precautions are necessary in addition to Standard precautions.
Droplet precautions prevent the transmission of pathogens spread through close respiratory or mucous membrane contact with respiratory secretions.
3
Select interventions that correctly align with Droplet precautions and safe nursing practice.
Select a private room, a surgical mask for staff within 3 feet, and a surgical mask for the client during transport.
These specific interventions contain the large droplets, while Airborne interventions (like N95 respirators or negative pressure) are unnecessary. Additionally, the nurse must retain initial assessments.

Key Concept

Droplet Precautions and Safe Delegation
Rate this question

Topics

Standard and Transmission-Based Precautions

More questions from this topic