Examkin

Soru

Zorluk: ZorAccident, Error, and Injury Prevention

A practical nurse (PN) is assigned to care for a client with active tuberculosis who is in a negative-pressure isolation room. Upon approaching the room to administer scheduled oral medications, the PN observes through the hallway window that the client is experiencing sudden, severe agitation and is attempting to climb over the raised bed rails. Which is the priority action for the PN to prevent client injury and maintain safety?

  1. A
    Delegate the immediate physical stabilization of the client to an unlicensed assistive personnel (UAP) while the PN prepares a chemical restraint.
  2. B
    Immediately enter the room to physically prevent the client from falling, then obtain and don an N95 respirator once the client is secure in bed.
  3. Don a fitted N95 respirator, enter the room to verbally redirect the client back to bed, and utilize the emergency call system for staff assistance.Cevap
  4. D
    Observe the client from the hallway, as acute confusion is an expected finding in older adults with systemic infections that typically resolves without intervention.

Cevap

The priority is to don a fitted N95 respirator, enter the room to verbally redirect the client, and call for emergency assistance.
The correct answer balances the critical need for infection control with immediate client safety. Standard safety protocols mandate that healthcare workers must don appropriate personal protective equipment (PPE) before entering a hazardous environment, even during an emergency. Once protected, the nurse can safely enter to provide least-restrictive interventions (verbal redirection) and summon necessary help.

Adım Adım Çözüm

1
Analyze the competing safety priorities in the clinical scenario.
The nurse faces an immediate physical threat (client climbing out of bed) and an immediate environmental/infectious threat (active airborne pathogen).
Prioritization requires identifying which risk must be mitigated first to allow for safe delivery of care.
2
Apply the principle of environmental safety and personal protection.
The nurse must don the appropriate PPE (N95 respirator) before crossing the threshold of the negative-pressure room.
If the nurse becomes exposed or incapacitated, they cannot assist the client. Personal safety and infection control cannot be bypassed.
3
Determine the appropriate, least-restrictive physical intervention.
Verbal redirection and calling for additional staff assistance.
This addresses the immediate fall risk safely without resorting to inappropriate delegation or unauthorized restraints.

Anahtar Kavram

Prioritizing Infection Control and Immediate Client Safety
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Konular

Accident, Error, and Injury Prevention

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