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Zorluk: ZorStandard and Transmission-Based Precautions

A client arrives at a primary care clinic reporting a high fever, cough, and a widespread maculopapular rash. After noting Koplik spots on the client's buccal mucosa, the healthcare provider suspects a measles (rubeola) infection. Which actions should the practical nurse (PN) take to maintain safety and infection control? Select all that apply.

  1. Escort the client immediately to a room with negative-pressure directional airflow, if available.Cevap
  2. Apply a standard surgical mask to the client's face before transferring them through the clinic hallways.Cevap
  3. C
    Remove the N95 respirator mask inside the examination room immediately after providing care to prevent hallway contamination.
  4. D
    Agree to independently complete the client's initial comprehensive respiratory assessment and formulate the isolation care plan.
  5. E
    Post a brightly colored sign on the examination room door that reads 'Warning: Suspected Measles Infection' to alert staff.
  6. Don an N95 respirator mask and ensure a proper seal check is completed prior to entering the client's examination room.Cevap

Cevap

The correct actions include escorting the client to a negative-pressure room, applying a surgical mask to the client during transport, and donning a properly fitted N95 respirator prior to room entry.
Measles requires airborne precautions. To prevent the spread of the virus, the nurse must don an N95 respirator prior to entering the room and place the client in a negative-pressure environment to contain aerosolized particles. If the client must leave the room for any reason, they must wear a standard surgical mask to contain infectious respiratory secretions.

Adım Adım Çözüm

1
Identify the mode of transmission for the suspected pathogen.
Measles (rubeola) is highly contagious and transmitted via aerosolized airborne particles.
Determining the correct transmission route dictates the specific isolation precautions required to protect staff and clients.
2
Select the appropriate environmental and personal protective equipment (PPE) interventions.
Airborne precautions require a negative-pressure room and an N95 respirator for all healthcare workers.
Negative pressure prevents aerosolized particles from escaping into adjacent areas, and N95 masks filter out microscopic infectious droplets.
3
Determine the correct protocol for client transport and PPE removal.
The client must wear a standard surgical mask when outside the isolation room, and the nurse must remove their N95 respirator only after exiting the room.
A surgical mask on the client serves as source control. Removing the N95 inside the room exposes the nurse to suspended airborne particles.
4
Evaluate actions against the nursing scope of practice and confidentiality guidelines.
Initial assessments and care planning cannot be delegated to a PN, and patient diagnoses must not be displayed publicly on isolation signage.
Adhering to the legal scope of practice and HIPAA regulations ensures safe, ethical, and competent patient care.

Anahtar Kavram

Airborne precautions require a negative-pressure room, an N95 respirator for staff (removed outside the room), and a surgical mask on the client during transport. Client confidentiality and the PN scope of practice must be strictly maintained when implementing infection control measures.
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Standard and Transmission-Based Precautions

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