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Zorluk: OrtaStandard and Transmission-Based Precautions

During the shift handoff, a licensed practical nurse receives a new client with confirmed bacterial meningitis (*Neisseria meningitidis*). Which of the following are appropriate infection control measures and care actions for this client? Select all that apply.

  1. Verify that the client is placed in a private room.Cevap
  2. B
    Don a fit-tested N95 respirator prior to entering the room.
  3. Apply a standard surgical mask when standing within 3 feet of the client.Cevap
  4. Place a standard surgical mask on the client during transport to other departments.Cevap
  5. E
    Maintain the client in a negative-pressure isolation room.
  6. F
    Perform the initial comprehensive admission assessment for this client.

Cevap

The correct actions are placing the client in a private room, wearing a surgical mask within 3 feet of the client, and having the client wear a surgical mask during transport.
Bacterial meningitis is transmitted through large respiratory droplets. Standard infection control guidelines for droplet precautions stipulate that the client should be placed in a private room. Furthermore, healthcare personnel must wear a standard surgical mask when providing direct care (within 3 feet). If the client must leave the room for essential testing, placing a standard surgical mask on the client serves as source control to contain respiratory secretions. These actions correctly align with the LPN's responsibilities for maintaining a safe care environment.

Adım Adım Çözüm

1
Identify the mode of transmission for the pathogen.
Bacterial meningitis (Neisseria meningitidis) is transmitted via large respiratory droplets, requiring droplet precautions.
Matching the pathogen to the correct isolation tier is the first step in determining appropriate PPE and room assignments.
2
Select the correct environmental controls and PPE for droplet precautions.
A private room is required, and healthcare workers must wear a standard surgical mask when within 3 feet. The client must wear a standard mask during transport.
Droplets are heavy and do not remain suspended in the air; therefore, negative pressure and N95 respirators are unnecessary.
3
Evaluate clinical tasks against the LPN/LVN scope of practice.
The initial comprehensive admission assessment is excluded from the LPN/LVN scope of practice.
Delegation and task acceptance must adhere to safe legal boundaries.

Anahtar Kavram

Droplet Precautions and LPN Scope of Practice
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