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Zorluk: Çok zorStandard and Transmission-Based Precautions

The practical nurse (PN) is reviewing room assignments and infection control protocols for clients on a medical-surgical unit. Which action by the PN demonstrates the correct application of transmission-based precautions?

  1. Cohorting two clients with confirmed influenza A in the same room and wearing a standard surgical mask when providing direct care.Cevap
  2. B
    Removing the gown and gloves, utilizing an alcohol-based hand rub, and then exiting the private room of a client with a confirmed norovirus infection.
  3. C
    Removing the N95 respirator inside the airborne infection isolation room (AIIR) after disposing of the gown and gloves when caring for a client with rubeola.
  4. D
    Instructing the assistive personnel (AP) to don an N95 respirator, gown, and gloves prior to entering the room to feed a client with bacterial meningitis.

Cevap

Cohorting two clients with confirmed influenza A in the same room and wearing a standard surgical mask when providing direct care.
The correct answer identifies that influenza A requires droplet precautions. According to standard infection control protocols, a standard surgical mask is required when providing care within 3 feet of the client. Furthermore, cohorting (placing clients with the exact same confirmed active infection in the same room) is a safe and accepted practice when private rooms are at capacity.

Adım Adım Çözüm

1
Evaluate the pathogen and required precautions for influenza A.
Influenza A is transmitted via large respiratory droplets, requiring droplet precautions.
Identifying the exact transmission route determines the correct PPE (surgical mask) and room assignment parameters.
2
Determine the safety of cohorting clients with influenza A.
Clients with the exact same confirmed pathogen can share a room if private rooms are unavailable.
Cohorting clients with identical infections does not pose a cross-contamination risk for that specific pathogen.
3
Analyze the infection control actions in the remaining options for procedural errors.
Norovirus requires soap and water. Rubeola requires N95 removal outside the room. Bacterial meningitis requires a surgical mask, not an N95.
Identifying the specific errors in the distractors confirms that the influenza A action is the only correct application of precautions.

Anahtar Kavram

Transmission-Based Precautions and Cohorting
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