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Zorluk: OrtaStandard and Transmission-Based Precautions

A practical nurse (PN) is preparing to irrigate an infected abdominal wound for a client on contact precautions. To protect against potential splashing of infectious body fluids, the PN will wear full personal protective equipment (PPE). After performing hand hygiene, in what sequence should the practical nurse don the personal protective equipment?

  1. A
    Surgical mask, face shield, isolation gown, clean gloves
  2. B
    Clean gloves, isolation gown, surgical mask, face shield
  3. Isolation gown, surgical mask, face shield, clean glovesCevap
  4. D
    Isolation gown, clean gloves, surgical mask, face shield

Cevap

The correct sequence is to apply the isolation gown first, followed by the surgical mask, then the face shield, and finally the clean gloves.
According to standardized infection control guidelines, the correct sequence for donning personal protective equipment (PPE) begins with the isolation gown. Once the gown is secured, the healthcare worker should apply the surgical mask, followed by the face shield (or goggles). Clean gloves are always applied last so they can be pulled up over the cuffs of the gown, creating a continuous protective barrier for the wrists.

Adım Adım Çözüm

1
Identify the required PPE components for the clinical scenario.
The PN needs an isolation gown, surgical mask, face shield, and clean gloves due to the combination of contact precautions and the high risk of splashing during wound irrigation.
Standard precautions mandate eye, face, and body protection when splashes or sprays of blood, body fluids, or secretions are anticipated.
2
Determine the correct standard sequence for donning the identified PPE.
The established sequence is: 1) Gown, 2) Mask or Respirator, 3) Goggles or Face Shield, 4) Gloves.
This specific order prevents the disruption of facial protection when tying the gown and ensures that gloves can be properly extended over the cuffs of the gown to create a continuous barrier.

Anahtar Kavram

Standard Sequence for Donning Personal Protective Equipment (PPE)
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Konular

Standard and Transmission-Based Precautions

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