A practical nurse is supervising an unlicensed assistive personnel (UAP) on a medical-surgical unit. The practical nurse must immediately intervene if the UAP is observed performing which action?
- ALeaving the room door completely open while providing care for a client admitted with a confirmed Mycoplasma pneumoniae infection.
- Applying a fit-tested N95 respirator to a client with active pulmonary tuberculosis prior to transporting the client to the radiology department.Cevap
- CUsing an alcohol-based hand rub to perform hand hygiene after emptying a urinary catheter drainage bag for a client colonized with methicillin-resistant Staphylococcus aureus (MRSA).
- DRemoving a disposable isolation gown and gloves inside the client's room before transitioning into the hallway after caring for a client with respiratory syncytial virus (RSV).
Cevap
The practical nurse must intervene when the UAP attempts to apply an N95 respirator to the client with active tuberculosis for transport. The client should be provided a standard surgical mask for source control.
The practical nurse must intervene because a client with active pulmonary tuberculosis should wear a standard surgical mask, not an N95 respirator, during transport outside their negative-pressure room. A standard surgical mask provides effective source control by trapping large respiratory droplets and preventing the expulsion of infectious droplet nuclei into the environment. Placing an N95 respirator on a client is unnecessary for source control, cannot be properly fit-tested for the client, and can significantly increase their work of breathing.
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Anahtar Kavram
Source Control and Proper PPE Utilization in Transmission-Based Precautions