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Zorluk: ZorStandard and Transmission-Based Precautions

An adult client is admitted to an inpatient unit with suspected bacterial meningitis and an actively draining methicillin-resistant Staphylococcus aureus (MRSA) wound. Which interventions should the practical nurse (PN) implement to maintain infection control and safe care delivery? Select all that apply.

  1. Don a surgical mask, a disposable gown, and gloves before entering the client's room.Cevap
  2. B
    Direct the unlicensed assistive personnel (UAP) to evaluate the client's neurological status during hourly rounding.
  3. Place a standard surgical mask on the client if transport outside the isolation room is required.Cevap
  4. D
    Doff the contaminated gown and gloves in the hallway immediately after exiting the client's room.
  5. Leave a designated stethoscope and blood pressure cuff inside the client's room for exclusive use.Cevap

Cevap

The correct actions include donning a surgical mask, gown, and gloves before entering; placing a surgical mask on the client during transport; and leaving designated medical equipment inside the room.
Bacterial meningitis and MRSA necessitate a combination of droplet and contact precautions. This requires donning a surgical mask, gown, and gloves before room entry, maintaining dedicated equipment in the room, and placing a surgical mask on the client during transport to contain respiratory secretions.

Adım Adım Çözüm

1
Identify the required transmission-based precautions for the client's specific diagnoses.
Bacterial meningitis requires droplet precautions. MRSA requires contact precautions.
Different pathogens require specific personal protective equipment (PPE) to prevent transmission.
2
Determine the correct PPE donning and doffing procedures.
A surgical mask, gown, and gloves must be donned prior to entry. Gowns and gloves must be removed inside the room before exiting.
Correct PPE usage and removal locations are critical to preventing the spread of pathogens to the hallway and other clients.
3
Evaluate the delegated task for the unlicensed assistive personnel (UAP).
Evaluating neurological status is an assessment task and cannot be delegated.
UAPs cannot perform tasks that require nursing judgment or clinical assessment.

Anahtar Kavram

Clients with multiple infections require a combination of precautions (e.g., Droplet and Contact). Furthermore, proper PPE sequencing, environmental control, and safe delegation are essential components of nursing care.
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