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Zorluk: ZorStandard and Transmission-Based Precautions

Following medication administration and a dressing change for a client diagnosed with both active pulmonary tuberculosis and a draining methicillin-resistant Staphylococcus aureus (MRSA) wound, the practical nurse prepares to leave the isolation environment. Which procedure correctly describes the removal of the required personal protective equipment (PPE)?

  1. Remove the gloves and gown inside the client's room, perform hand hygiene, exit the room and close the door, then remove the N95 respirator.Cevap
  2. B
    Remove the gloves, gown, and N95 respirator inside the client's room, and then perform hand hygiene before opening the door.
  3. C
    Exit the client's room, immediately close the door, and remove the contaminated gloves, gown, and N95 respirator in the adjacent hallway.
  4. D
    Remove the gloves and N95 respirator inside the client's room, perform hand hygiene, exit the room, and then remove the contaminated gown.

Cevap

The nurse must remove the gloves and gown inside the client's room, perform hand hygiene, exit the room, and then remove the N95 respirator.
When a client is on both Airborne and Contact Precautions, the nurse must prevent the spread of contact pathogens to the hallway while also protecting their own airway from suspended particles. The correct procedure is to remove the most contaminated items (gloves and gown) inside the room, perform hand hygiene, exit the room, close the door, and finally remove the N95 respirator.

Adım Adım Çözüm

1
Identify the transmission-based precautions required for the client's diagnoses.
Tuberculosis requires Airborne Precautions (N95 respirator), and MRSA requires Contact Precautions (gown and gloves).
Different pathogens require specific protective equipment and removal protocols based on how they spread.
2
Determine the correct location for doffing contact precaution PPE.
Gloves and gown must be removed inside the client's room.
This prevents dragging contact pathogens (MRSA) out of the contaminated environment and into clean areas.
3
Determine the correct location for doffing airborne precaution PPE.
The N95 respirator must be removed outside the client's room after the door is closed.
The respirator protects the nurse from inhaling suspended infectious nuclei; it must stay on until the nurse is entirely out of the airborne environment.

Anahtar Kavram

PPE Doffing Sequence for Combined Precautions
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Konular

Standard and Transmission-Based Precautions

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