An older adult client with a confirmed norovirus infection is experiencing acute confusion and repeatedly attempts to wander out of their room into the facility's common dining area. The client requires contact precautions. Which action by the practical nurse demonstrates appropriate care management?
- Implement frequent room checks, apply a bed alarm, and ensure all personnel don a gown and gloves prior to entering the client's room.Cevap
- BDelegate the task of assessing the client's neurological status and determining the cause of the confusion to the unlicensed assistive personnel (UAP).
- CRemove the isolation gown prior to removing the contaminated gloves when briefly stepping out of the room to retrieve a bedside commode.
- DObtain a prescription to apply bilateral soft wrist restraints to immediately prevent the client from leaving the room and spreading the infection.
Cevap
Implement frequent room checks, apply a bed alarm, and ensure all personnel don a gown and gloves prior to entering the client's room.
The correct action successfully addresses both the infection control mandates and the client's immediate safety needs. Contact precautions (gown and gloves) are absolutely necessary for norovirus to prevent environmental contamination and cross-transmission. Simultaneously, utilizing bed alarms and increasing the frequency of room checks are appropriate, least-restrictive interventions to manage the wandering behavior associated with acute confusion.
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Anahtar Kavram
Balancing strict transmission-based precautions with least-restrictive safety interventions for a cognitively impaired client.