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Zorluk: OrtaStandard and Transmission-Based Precautions

A practical nurse (PN) is observing an unlicensed assistive personnel (UAP) remove personal protective equipment (PPE) after providing care for a client on airborne and contact precautions. Which action by the UAP indicates a need for the PN to intervene?

  1. Removing the N95 respirator before exiting the client's room.Cevap
  2. B
    Taking off the gloves prior to removing the isolation gown.
  3. C
    Rolling the gown inside out while pulling it down from the shoulders.
  4. D
    Discarding the gloves and gown in a receptacle located inside the client's room.

Cevap

The UAP removing the N95 respirator before exiting the client's room requires immediate intervention.
When a client is on airborne precautions, the environment inside the room contains infectious aerosolized particles. The N95 respirator protects the respiratory tract and must be left in place until the healthcare worker has physically exited the room and the door is completely closed. Removing it inside the room constitutes a significant safety breach that requires immediate intervention from the observing nurse.

Adım Adım Çözüm

1
Analyze the client's isolation requirements.
The client is on airborne and contact precautions.
Identifying the precautions determines the required PPE and the specific rules for donning and doffing.
2
Evaluate the rules for doffing contact precaution PPE (gloves and gown).
Gloves and gowns must be removed and discarded inside the client's room before exiting.
This prevents environmental contamination of the hallways with contact pathogens.
3
Evaluate the rules for doffing airborne precaution PPE (N95 respirator).
The N95 respirator must remain on until the worker has exited the room and closed the door.
Removing the respirator inside the room breaks airborne precautions and risks inhaling infectious aerosolized particles.
4
Review the UAP's actions in the options to identify the breach in protocol.
Removing the N95 respirator inside the room is a critical safety breach requiring intervention.
The PN must stop the UAP to protect them from airborne exposure.

Anahtar Kavram

Personal Protective Equipment (PPE) Doffing Sequence and Location
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Konular

Standard and Transmission-Based Precautions

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