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Zorluk: OrtaStandard and Transmission-Based Precautions

An older adult client is admitted to the medical-surgical unit with a sacral pressure injury infected with Vancomycin-resistant *Enterococcus* (VRE). The healthcare provider has prescribed contact precautions. Which actions should the practical nurse implement? Select all that apply.

  1. Don a clean gown and gloves upon entering the client's room.Cevap
  2. B
    Discard the contaminated gown and gloves in a hallway receptacle after exiting the room.
  3. C
    Delegate the evaluation of the wound's drainage to the unlicensed assistive personnel (UAP).
  4. Ensure that a dedicated stethoscope and thermometer remain inside the client's room for exclusive use.Cevap
  5. E
    Request a transfer to a private negative-pressure isolation room for this client.
  6. Place the client in a room with another client who has an active VRE infection if a private room is unavailable.Cevap

Cevap

The nurse should don a clean gown and gloves upon entering the room, ensure dedicated medical equipment remains inside the room, and cohort the client with another VRE-positive client if a private room is unavailable.
Contact precautions require the use of a gown and gloves upon entering the room to prevent transmission of epidemiologically important microorganisms like VRE. Medical equipment must be dedicated to a single client and left in the room to avoid cross-contamination. Furthermore, if a private room is unavailable, cohorting the client with another individual who has the identical active infection is an accepted infection control standard.

Adım Adım Çözüm

1
Identify the mode of transmission for the organism specified in the scenario.
Vancomycin-resistant Enterococcus (VRE) is transmitted via direct or indirect contact.
Determining the transmission route dictates the specific isolation precautions required.
2
Select interventions that align with contact precautions.
Appropriate interventions include using a gown and gloves upon room entry, dedicating reusable equipment, and cohorting clients with the same infection.
These measures create a physical barrier and limit the spread of the pathogen to the hospital environment and other vulnerable clients.
3
Eliminate inappropriate actions related to doffing sequence, delegation, and incorrect precaution types.
Discarding PPE in the hallway, delegating assessment to a UAP, and using negative-pressure rooms are incorrect.
PPE must be doffed before exiting the room, UAPs cannot assess, and negative-pressure rooms are strictly for airborne pathogens.

Anahtar Kavram

Contact precautions require a private room or cohorting, dedicated equipment, and the use of a gown and gloves upon entry and removed before exiting.
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