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Zorluk: OrtaStandard and Transmission-Based Precautions

A practical nurse is planning care for a client who is on contact precautions due to a Methicillin-resistant *Staphylococcus aureus* (MRSA) infection. Which instruction is most appropriate for the nurse to give the unlicensed assistive personnel (UAP) assigned to assist this client?

  1. Keep the reusable blood pressure cuff and thermometer inside the client's room.Cevap
  2. B
    Evaluate the client's skin around the infected area during the morning bath.
  3. C
    Remove your gown first, followed by your gloves, before leaving the room.
  4. D
    Apply a surgical mask if you anticipate being within three feet of the client.

Cevap

Instruct the UAP to keep dedicated reusable equipment, such as a blood pressure cuff and thermometer, inside the client's room.
The most appropriate instruction is to use dedicated equipment. Contact precautions require that the client has their own dedicated patient-care equipment (such as thermometers, blood pressure cuffs, and stethoscopes) to prevent the transmission of infectious agents like MRSA to other clients or surfaces. This equipment remains in the room until the client is discharged or the precautions are discontinued.

Adım Adım Çözüm

1
Identify the transmission-based precaution requirements for the client's specific pathogen.
MRSA requires contact precautions, which mandate the use of gowns and gloves for all room interactions and the prevention of indirect contact transmission.
Understanding the mode of transmission dictates the necessary environmental and personal protective interventions.
2
Determine the appropriate equipment protocols for contact precautions.
Single-use or dedicated reusable equipment must be utilized and remain in the client's room.
Sharing equipment between clients increases the risk of spreading the pathogen via fomites.
3
Evaluate the appropriateness of the instruction for the UAP's scope of practice.
The instruction to use and maintain dedicated equipment is a safe, routine task parameter suitable for a UAP.
It focuses on environmental safety and basic care rather than clinical assessment or evaluation.

Anahtar Kavram

Contact Precautions and Dedicated Equipment
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