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Zorluk: ZorStandard and Transmission-Based Precautions

An 8-year-old pediatric client is admitted to the medical unit with a diagnosis of bacterial meningitis (*Neisseria meningitidis*) and a heavily draining methicillin-resistant *Staphylococcus aureus* (MRSA) wound on the left lower extremity. Which of the following actions should the practical nurse take to maintain appropriate transmission-based precautions? (Select all that apply.)

  1. Dedicate a stethoscope, thermometer, and blood pressure cuff for exclusive use in the client's room.Cevap
  2. B
    Don a fitted N95 respirator prior to entering the client's room.
  3. Place a standard surgical mask on the client when transport outside the room is necessary.Cevap
  4. D
    Delegate the MRSA wound dressing change to an unlicensed assistive personnel (UAP) to limit nurse exposure.
  5. E
    Remove the surgical mask inside the room before doffing the contaminated gown and gloves.
  6. Perform hand hygiene and put on a clean gown and gloves immediately upon entering the client's room.Cevap

Cevap

The practical nurse must implement both droplet and contact precautions. Correct actions include dedicating reusable equipment exclusively to the client, placing a surgical mask on the client during transport, and donning a gown and gloves upon entering the room.
The client requires both droplet precautions for bacterial meningitis and contact precautions for the draining MRSA wound. Correct infection control protocol dictates placing a surgical mask on the client during transport to contain respiratory secretions (source control). Furthermore, contact precautions mandate donning a gown and gloves upon entry and utilizing dedicated, noncritical patient-care equipment (e.g., stethoscope, blood pressure cuff) to prevent the spread of MRSA to other clients and surfaces.

Adım Adım Çözüm

1
Identify the required transmission-based precautions based on the multiple diagnoses.
Bacterial meningitis requires droplet precautions, and a heavily draining MRSA wound requires contact precautions.
Neisseria meningitidis is transmitted via large respiratory droplets, while MRSA is transmitted via direct or indirect contact with the wound or contaminated surfaces.
2
Select the appropriate personal protective equipment (PPE) and source control measures.
The nurse must wear a standard surgical mask (droplet) along with a gown and gloves (contact). If the client leaves the room, they must wear a surgical mask.
Droplet precautions mandate a surgical mask within 3 feet of the client, while contact precautions require a gown and gloves upon room entry to prevent transmission.
3
Determine safe doffing sequences and delegation appropriateness.
The UAP cannot be delegated complex wound care, and PPE must be removed in the correct sequence (mask removed last).
Delegating outside the UAP's scope compromises client safety. Improper doffing increases the risk of the nurse self-contaminating their mucous membranes.

Anahtar Kavram

Implementation of combined Droplet and Contact Precautions and appropriate LPN/LVN scope of practice
Tahmini Süre:1m 30s
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Konular

Standard and Transmission-Based Precautions

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