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Zorluk: OrtaStandard and Transmission-Based Precautions

A practical nurse is assigned to care for a pediatric client admitted with suspected measles (rubeola). Which of the following infection control interventions should the nurse implement? Select all that apply.

  1. Keep the door to the client's room tightly closed at all times.Cevap
  2. B
    Remove the N95 respirator inside the client's room after completing care.
  3. Instruct the client to wear a standard surgical mask during transport for a chest x-ray.Cevap
  4. D
    Direct the unlicensed assistive personnel (UAP) to perform the client's admission respiratory assessment.
  5. Apply a fit-tested particulate respirator just before entering the client's room.Cevap
  6. F
    Store the client's dedicated reusable blood pressure cuff on an isolation cart in the hallway.

Cevap

The correct interventions include keeping the room door tightly closed, having the client wear a surgical mask during transport, and applying a fit-tested particulate respirator before entering the room.
Because measles is transmitted via small airborne particles, the client must be on Airborne Precautions. This requires keeping the door closed to maintain negative pressure within the room, donning an N95 respirator before entering to filter out the virus, and placing a standard surgical mask on the client during transport to trap infectious particles at the source.

Adım Adım Çözüm

1
Identify the mode of transmission for the suspected disease.
Measles (rubeola) is a highly contagious viral illness transmitted through the airborne route.
Recognizing the transmission method is the first step in determining the appropriate category of isolation precautions.
2
Determine the necessary environmental controls.
The client must be placed in an airborne infection isolation room (AIIR) with negative air pressure, and the door must be kept completely closed.
Keeping the door closed prevents infectious droplet nuclei from escaping into common areas.
3
Select the appropriate personal protective equipment (PPE) for the nurse.
The nurse must don a fit-tested N95 respirator or powered air-purifying respirator (PAPR) before entering, and remove it only after leaving the room.
Standard surgical masks do not filter out the tiny airborne particles that transmit measles.
4
Identify the correct protocol for client transport.
If transport is essential, the client must wear a standard surgical mask.
The surgical mask acts as source control, trapping the client's exhaled pathogens before they enter the environment.

Anahtar Kavram

Airborne Precautions require placing the client in a negative-pressure room with the door closed, staff donning an N95 respirator prior to entry (and doffing after exit), and placing a surgical mask on the client for source control during necessary transport.
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