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Zorluk: OrtaStandard and Transmission-Based Precautions

An older adult client is admitted to the medical unit with a stage 3 sacral pressure injury that has tested positive for vancomycin-resistant enterococci (VRE). The client is placed on contact precautions. Which action by the practical nurse (PN) demonstrates correct adherence to infection control principles?

  1. Donning a protective gown and clean gloves just before crossing the threshold into the client's room.Cevap
  2. B
    Doffing the contaminated gown and gloves in the hallway immediately after exiting the client's room.
  3. C
    Wearing an N95 respirator mask during routine conversations with the client at the bedside.
  4. D
    Recommending the client be placed in a shared room with a client admitted for an active Clostridioides difficile infection.

Cevap

Donning a protective gown and clean gloves just before crossing the threshold into the client's room.
Vancomycin-resistant enterococci (VRE) are transmitted through direct and indirect contact, necessitating strict contact precautions. Standard protocol dictates that a protective gown and clean gloves must be donned prior to entering the client's room to prevent the transfer of the microorganism to the nurse's hands or clothing.

Adım Adım Çözüm

1
Identify the transmission route for the pathogen mentioned in the scenario.
VRE is transmitted via direct or indirect contact with the patient or their environment.
Understanding the mode of transmission determines the necessary isolation precautions.
2
Determine the required personal protective equipment (PPE) for contact precautions.
Contact precautions require a gown and gloves.
These items create a physical barrier to prevent the transfer of pathogens.
3
Identify the correct location for donning and doffing the required PPE.
PPE should be donned before entering the room and doffed inside the room before exiting.
This protocol ensures pathogens are not carried into the clean environment of the hallway.

Anahtar Kavram

Transmission-Based Precautions: Contact Precautions
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