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Zorluk: OrtaStandard and Transmission-Based Precautions

A practical nurse is preparing to transport a client diagnosed with active pulmonary tuberculosis (TB) from a negative-pressure isolation room to the radiology department for a scheduled diagnostic test. Which action is the most appropriate for the nurse to take to prevent the spread of infection during this transport?

  1. Place a standard surgical mask over the client's nose and mouth before exiting the isolation room.Cevap
  2. B
    Place a fitted N95 respirator on the client to ensure maximum filtration of exhaled infectious particles.
  3. C
    Wear a fluid-resistant gown and clean gloves while pushing the client's wheelchair through the hospital corridors.
  4. D
    Instruct the receiving radiology personnel to wear a standard surgical mask during the diagnostic procedure.

Cevap

The correct action is to place a standard surgical mask over the client's nose and mouth before they leave the isolation room.
When a client on airborne precautions must leave their isolation room for essential purposes like diagnostic testing, the standard protocol is to apply a surgical mask over the client's nose and mouth. This acts as source control, trapping infectious respiratory secretions and preventing the aerosolization of droplet nuclei into the ambient air of the hospital corridors.

Adım Adım Çözüm

1
Identify the transmission route for the client's diagnosed condition.
Active pulmonary tuberculosis requires airborne precautions.
Understanding the mode of transmission determines the necessary infection control measures.
2
Determine the appropriate protocol for transporting a client on airborne precautions outside their isolation room.
The primary goal during transport is source control to prevent the release of infectious droplet nuclei into the environment.
Facility environments outside the negative-pressure room are not equipped to contain airborne pathogens.
3
Select the correct personal protective equipment (PPE) for the client.
A standard surgical mask should be placed on the client.
A surgical mask effectively contains exhaled respiratory droplets and is tolerated better by clients than an N95 respirator.

Anahtar Kavram

Airborne Precautions During Client Transport
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