A practical nurse is preparing a client for an urgent diagnostic procedure in the radiology department. The client is currently on droplet precautions for suspected Neisseria meningitidis and contact-enteric precautions for severe Clostridioides difficile diarrhea. Which set of actions is most appropriate for the nurse to implement prior to and during the transport?
- Assist the client to perform hand hygiene with soap and water, apply a standard medical mask to the client, and transfer them to a clean stretcher covered by a clean sheet.Cevap
- BInstruct the client to use an alcohol-based hand rub, apply a standard medical mask to the client, and ensure the transport personnel wear a gown and gloves.
- CAssist the client to perform hand hygiene with soap and water, apply an N95 respirator to the client, and transfer them in their current bed.
- DApply a standard medical mask to the client, wrap them in a clean blanket, and instruct transport staff to wear a gown, gloves, and mask while moving through the hospital corridors.
Cevap
Assist the client to perform hand hygiene with soap and water, apply a standard medical mask to the client, and transfer them to a clean stretcher covered by a clean sheet.
For a client with both droplet and contact-enteric precautions, the priority during transport is containing the pathogens at the source. A standard medical mask contains respiratory droplets effectively. Washing the client's hands with soap and water physically removes Clostridioides difficile spores, which alcohol rubs cannot kill. Placing the client on a clean stretcher and covering them with a clean sheet prevents environmental contamination during transit. Lastly, transport personnel should navigate hallways without PPE unless they are actively providing direct physical care, as wearing PPE in corridors spreads pathogens to public surfaces.
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Anahtar Kavram
Synthesis of Droplet, Contact-Enteric, and Transport Infection Control Protocols
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