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Zorluk: ZorStandard and Transmission-Based Precautions

An immunocompromised client is receiving care in an airborne infection isolation room (AIIR) for localized herpes zoster. The client suddenly activates the call light and reports severe, acute shortness of breath. The practical nurse (PN) arrives at the threshold of the client's room. Which action should the PN take first?

  1. A
    Activate the facility's medical emergency team from the corridor and wait for the registered nurse (RN) to evaluate the airway.
  2. B
    Immediately enter the isolation room to initiate oxygen therapy, applying the necessary protective gear once the client stabilizes.
  3. Put on an N95 respirator, isolation gown, and clean gloves prior to crossing the room threshold to assess the client.Cevap
  4. D
    Instruct an available unlicensed assistive personnel (UAP) who is fully gowned and masked to enter the room and check vital signs.

Cevap

Put on an N95 respirator, isolation gown, and clean gloves prior to crossing the room threshold to assess the client.
An immunocompromised client with localized herpes zoster requires strict airborne and contact precautions. Even in an acute respiratory emergency, healthcare personnel must prioritize putting on the correct personal protective equipment (PPE)—including an N95 respirator, gown, and gloves—before entering the room. Bypassing infection control protocols exposes the nurse and other clients to highly contagious pathogens. The practical nurse is responsible for initiating emergency assessment and cannot delegate the care of an unstable client to unlicensed assistive personnel or delay care by waiting for a registered nurse.

Adım Adım Çözüm

1
Analyze the client's diagnosis and required infection control measures.
An immunocompromised client with localized herpes zoster requires both airborne and contact precautions, mandating the use of an N95 respirator, gown, and gloves.
Immunocompromised clients shed the virus more heavily, increasing transmission risk and necessitating heightened precautions compared to localized shingles in healthy adults.
2
Evaluate the clinical priority against facility safety standards.
The client is experiencing a respiratory emergency requiring immediate attention, but the nurse cannot enter the room without proper protective equipment.
Personal safety and infection control protocols must be strictly maintained even during life-threatening emergencies to prevent cross-contamination and healthcare worker exposure.
3
Determine the appropriate scope of practice for the practical nurse in this scenario.
The PN must personally don the correct PPE and initiate the emergency assessment.
The PN cannot delegate the assessment of an unstable client to a UAP, nor can the PN abandon airway prioritization by passively waiting in the hallway for an RN.

Anahtar Kavram

Maintaining Standard and Transmission-Based Precautions During Clinical Emergencies
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Konular

Standard and Transmission-Based Precautions

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