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Zorluk: ZorStandard and Transmission-Based Precautions

A licensed practical nurse (LPN) is providing care on a medical-surgical unit. Which action by the LPN demonstrates a correct application of standard and transmission-based precautions within the LPN scope of practice?

  1. A
    Removing the N95 respirator, followed by the isolation gown and gloves, while standing inside the negative-pressure room of a client with active pulmonary tuberculosis.
  2. B
    Accepting a delegated assignment to perform the initial comprehensive physical assessment for a client newly admitted with disseminated herpes zoster.
  3. Donning a fluid-resistant gown, clean gloves, and a face shield before emptying the urinary drainage bag of a client with a Clostridioides difficile infection.Cevap
  4. D
    Directing the unlicensed assistive personnel (UAP) to determine the specific personal protective equipment (PPE) required for a client with an undiagnosed respiratory infection.

Cevap

The LPN correctly applies standard and transmission-based precautions by donning a gown, gloves, and a face shield before emptying the urinary drainage bag of a client with a Clostridioides difficile infection.
Clostridioides difficile requires contact precautions, which mandate the use of a gown and gloves. Additionally, standard precautions must always be applied based on the risk of exposure to body fluids during a specific task. Emptying a urinary drainage bag carries a high risk of splashing urine; therefore, the addition of a face shield or goggles is required to protect the mucous membranes of the eyes, nose, and mouth.

Adım Adım Çözüm

1
Identify the specific transmission-based precautions required for the pathogen.
Clostridioides difficile requires contact precautions, which mandate the use of a gown and gloves upon entering the room.
Contact precautions prevent the spread of infectious agents transmitted by direct or indirect contact with the client or the client's environment.
2
Evaluate the specific procedural task for additional risks.
Emptying a urinary drainage bag presents a high risk for splashing body fluids (urine).
Certain tasks carry inherent risks that exceed the baseline requirements of the transmission-based precaution category.
3
Apply standard precaution guidelines to the identified risk.
A face shield or goggles must be added to the PPE ensemble.
Standard precautions require the use of eye and face protection whenever there is a potential for splashes or sprays of blood, body fluids, secretions, or excretions.

Anahtar Kavram

Integration of Standard and Transmission-Based Precautions
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Konular

Standard and Transmission-Based Precautions

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