A practical nurse (PN) is reviewing the care requirements for a newly admitted client who has both active pulmonary tuberculosis and a methicillin-resistant *Staphylococcus aureus* (MRSA) infected sacral pressure injury. Which of the following nursing actions are appropriate to implement? Select all that apply.
- Don a fit-tested N95 respirator, an isolation gown, and clean gloves before crossing the threshold of the room.Cevap
- BAccept an assignment from the charge nurse to conduct the comprehensive admission assessment and formulate the initial care plan.
- Ensure the client is placed in a private room with negative-pressure airflow and verify the door remains closed.Cevap
- DRemove the N95 respirator while still inside the client's room immediately after disposing of the gown and gloves.
- Dedicate disposable, single-use medical equipment such as a stethoscope and blood pressure cuff exclusively for this client's use.Cevap
- FDiscuss the client's infectious status with a respiratory therapist while riding in a crowded public elevator.
Cevap
The appropriate actions include donning an N95 respirator, gown, and gloves prior to entering the room; maintaining the client in a private, negative-pressure room with the door closed; and using dedicated, single-use medical equipment exclusively for this client.
The client requires a combination of airborne precautions (for tuberculosis) and contact precautions (for MRSA). Therefore, the nurse must don an N95 respirator, gown, and gloves before entering the room. Airborne precautions dictate that the client must be placed in a private, negative-pressure room with the door kept closed to safely exhaust infectious droplet nuclei. Furthermore, contact precautions require that dedicated or disposable medical equipment be kept in the room for that client's exclusive use to prevent transmitting the MRSA bacteria to other areas of the facility.
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Anahtar Kavram
Combined Airborne and Contact Precautions alongside Scope of Practice