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Zorluk: ZorStandard and Transmission-Based Precautions

A practical nurse (PN) has finished providing a bed bath for a client diagnosed with active pulmonary tuberculosis and Clostridioides difficile. The client is housed in an airborne infection isolation room. Which sequence of actions must the PN take to correctly remove personal protective equipment (PPE) and maintain infection control?

  1. Remove gloves and gown inside the client room, wash hands with soap and water, exit the room, remove the N95 respirator, and perform hand hygiene.Cevap
  2. B
    Remove gloves and gown inside the client room, apply an alcohol-based hand rub, exit the room, remove the N95 respirator, and wash hands with soap and water.
  3. C
    Exit the client room, remove gloves and gown in the hallway, wash hands with soap and water, remove the N95 respirator, and perform hand hygiene.
  4. D
    Remove gloves, gown, and the N95 respirator inside the client room, wash hands with soap and water, and then exit the room.

Cevap

Remove gloves and gown inside the client room, wash hands with soap and water, exit the room, remove the N95 respirator, and perform hand hygiene.
For a client with Clostridioides difficile, the nurse must remove the gown and gloves and wash hands thoroughly with soap and water inside the room, because alcohol-based sanitizers do not destroy C. diff spores. Furthermore, to maintain airborne precautions for tuberculosis, the N95 respirator must not be removed until the nurse has fully exited the room and closed the door, followed by an additional round of hand hygiene.

Adım Adım Çözüm

1
Identify the transmission-based precaution requirements for both diagnosed pathogens.
Tuberculosis requires Airborne precautions (N95 respirator, negative pressure room). Clostridioides difficile requires Contact precautions with enteric modifications (gown, gloves, and strict soap and water hand hygiene).
Accurate identification of required precautions is necessary to determine the correct doffing procedure and products.
2
Determine the proper location for removing Contact precaution PPE.
The contaminated gown and gloves must be removed inside the client's room.
Removing contact PPE inside the room prevents the transfer of pathogens to the clean external hospital environment.
3
Determine the required method of hand hygiene immediately following contact PPE removal.
The nurse must wash hands with soap and water inside the room before touching the exit door.
Clostridioides difficile spores are not deactivated by alcohol-based sanitizers. Mechanical friction with soap and water is required to physically wash the spores down the drain.
4
Determine the proper location for removing Airborne precaution PPE.
The N95 respirator must be removed only after exiting the room and closing the door.
The respirator must remain in place to filter out infectious aerosolized particles while the nurse is breathing the air inside the contaminated isolation room.

Anahtar Kavram

Correct doffing sequence and hand hygiene methods for combined Airborne and modified Contact (enteric) precautions.
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Konular

Standard and Transmission-Based Precautions

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