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Zorluk: OrtaStandard and Transmission-Based Precautions

An older adult client with a methicillin-resistant Staphylococcus aureus (MRSA) infection in a venous stasis ulcer is scheduled to visit the rehabilitation department for ambulation training. Which action by the practical nurse best demonstrates adherence to both infection control and professional safety standards?

  1. Ensuring the venous ulcer is fully covered with a clean, intact dressing to contain any drainage before the client exits the room.Cevap
  2. B
    Assigning an unlicensed assistive personnel (UAP) to evaluate the wound bed and apply a new prescribed antimicrobial dressing before transport.
  3. C
    Placing a brightly colored sign on the outside of the client's door that explicitly states the MRSA diagnosis to warn transport personnel.
  4. D
    Instructing the client to don a disposable isolation gown and clean examination gloves while traveling through the public hospital corridors.

Cevap

Ensuring the venous ulcer is fully covered with a clean, intact dressing to contain any drainage before the client exits the room.
When a client on contact precautions must leave their room for essential purposes such as physical therapy, the primary infection control goal is to contain the source of the pathogen. For an active MRSA wound infection, ensuring the site is fully covered with a clean, dry, and intact dressing effectively prevents the bacteria from shedding into the environment or coming into contact with public surfaces during transport.

Adım Adım Çözüm

1
Identify the transmission route for the specified pathogen.
MRSA is spread through direct or indirect contact with the infected area or contaminated surfaces, requiring Contact Precautions.
Understanding how the bacteria spreads is essential for determining how to prevent transmission during transport.
2
Determine the infection control requirements for moving a client on Contact Precautions outside their room.
The primary requirement is to contain the source of the infection to prevent shedding into the environment.
If the infected area is fully contained, the client poses minimal risk to the hospital environment and can safely attend essential therapies.
3
Evaluate the given options against professional nursing standards.
Covering the wound safely contains the pathogen without breaching client confidentiality or making inappropriate delegations.
This single action satisfies both infection control guidelines and legal/ethical nursing responsibilities.

Anahtar Kavram

Transporting Clients on Contact Precautions
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