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Zorluk: OrtaStandard and Transmission-Based Precautions

A licensed practical nurse (LPN) is reviewing the care plan for a newly admitted client who has disseminated herpes zoster. Which of the following infection control measures should the LPN implement? Select all that apply.

  1. Assign the client to a private room equipped with a negative-pressure airflow system.Cevap
  2. Wear a fit-tested N95 respirator mask when providing direct care to the client.Cevap
  3. Put on a disposable gown and clean gloves prior to entering the client's room.Cevap
  4. Place a standard surgical mask on the client if transport to another department is necessary.Cevap
  5. E
    Discard the N95 respirator in the waste receptacle located immediately inside the client's room.
  6. F
    Delegate the initial documentation of the lesion characteristics to the unlicensed assistive personnel (UAP).

Cevap

The correct measures include assigning a negative-pressure room, wearing a fit-tested N95 respirator, donning a gown and clean gloves before entering, and placing a surgical mask on the client during transport.
Disseminated herpes zoster is highly contagious and transmitted via both airborne and contact routes until the lesions are completely dry and crusted. The correct interventions include isolating the client in a negative-pressure room, wearing an N95 respirator to prevent inhalation of airborne particles, donning a gown and gloves to prevent contact transmission, and placing a surgical mask on the client during necessary transport to contain respiratory secretions.

Adım Adım Çözüm

1
Identify the mode of transmission for disseminated herpes zoster.
Disseminated herpes zoster requires both airborne and contact precautions.
The varicella-zoster virus can be transmitted through the air and by direct contact with the fluid from the blisters.
2
Determine the appropriate room assignment and PPE for airborne and contact precautions.
A negative-pressure room, an N95 respirator, a gown, and gloves are required.
Negative pressure prevents airborne spread to the hallway; the N95 filters infectious particles; the gown and gloves prevent contact transmission.
3
Identify the appropriate protocol for transporting the client and doffing PPE.
The client must wear a standard surgical mask during transport; the nurse must doff the N95 outside the room.
The client's mask contains their respiratory secretions. The nurse must exit the contaminated environment before removing respiratory protection.
4
Evaluate the UAP delegation task.
Assessing lesion characteristics cannot be delegated to a UAP.
Clinical assessments require nursing judgment and are outside the UAP's scope of practice.

Anahtar Kavram

Disseminated herpes zoster requires a combination of airborne and contact precautions, along with appropriate delegation of care tasks.
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Standard and Transmission-Based Precautions

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