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Zorluk: OrtaStandard and Transmission-Based Precautions

A client with a confirmed diagnosis of active pulmonary tuberculosis needs to be transported to the radiology department for a prescribed imaging study. When preparing the client to leave their negative-pressure isolation room, which action should the practical nurse take?

  1. Apply a standard surgical mask over the client's nose and mouth prior to exiting the room.Cevap
  2. B
    Provide the client with an N95 filtering facepiece respirator to wear in the hallways.
  3. C
    Maintain personal airborne precautions by wearing an N95 mask and protective gown during the transport.
  4. D
    Dress the client in a fluid-resistant gown and disposable gloves to minimize surface contamination.

Cevap

The correct action is to apply a standard surgical mask over the client's nose and mouth before they leave the isolation room.
When a client on airborne precautions (such as for active pulmonary tuberculosis) must be transported outside of their negative-pressure room, the priority is source control. Applying a standard surgical mask over the client's nose and mouth effectively traps infectious droplet nuclei before they enter the shared environment. The client does not wear an N95 respirator, as these are designed for healthcare personnel protection and require formal fit-testing.

Adım Adım Çözüm

1
Identify the pathogen and its mode of transmission.
Tuberculosis is transmitted via airborne droplet nuclei, requiring Airborne Precautions.
Understanding the transmission route is essential for selecting the correct infection control measures.
2
Determine the specific requirements for transporting a client on Airborne Precautions.
The primary goal is source control to prevent the client from expelling infectious droplets into the shared hospital environment.
Pathogens must be contained at the source when the client is moved outside of a controlled negative-pressure environment.
3
Select the appropriate personal protective equipment (PPE) for the client.
A standard surgical mask is chosen over an N95 respirator.
Surgical masks effectively contain respiratory secretions from the source, whereas N95s are designed for staff inhalation protection and require fit-testing.
4
Evaluate the need for staff PPE during transport.
Transporting staff do not need to wear full airborne PPE if the client is adequately masked.
Once the client is properly masked, the immediate risk of airborne transmission in the hallway is mitigated.

Anahtar Kavram

Airborne Precautions during Client Transport
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