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Zorluk: OrtaStandard and Transmission-Based Precautions

Match each clinical scenario with the most appropriate primary transmission-based or standard precaution category required for the client's safe care.

  • A client admitted with severe coughing and a confirmed diagnosis of Mycoplasma pneumoniae.Droplet Precautions (surgical mask required when within 3 feet)
  • A client with a draining surgical wound that has cultured positive for Vancomycin-resistant enterococcus (VRE).Contact Precautions (gown and gloves required upon room entry)
  • A client presenting with a high fever, Koplik spots, and a confirmed diagnosis of Rubeola (measles).Airborne Precautions (N95 respirator and negative-pressure room required)
  • A client with a history of chronic Hepatitis C admitted for a routine laparoscopic cholecystectomy.Standard Precautions (routine hand hygiene and risk-based PPE required)

Cevap

Mycoplasma pneumoniae matches with Droplet Precautions; VRE in a draining wound matches with Contact Precautions; Rubeola matches with Airborne Precautions; and Hepatitis C matches with Standard Precautions.
Each precaution category perfectly aligns with the pathogen's mode of transmission. Mycoplasma is droplet-based, VRE is contact-based, Measles is airborne, and Hepatitis C is a bloodborne illness requiring only standard safeguards during routine care.

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1
Analyze the transmission mode of Mycoplasma pneumoniae.
Identified as a pathogen transmitted via large respiratory droplets.
Large droplets do not remain suspended in the air, meaning Droplet Precautions (surgical mask) are appropriate.
2
Analyze the transmission mode of Vancomycin-resistant enterococcus (VRE) in a draining wound.
Identified as a multi-drug resistant organism transmitted by direct physical contact or contact with contaminated surfaces.
Direct contact with the client or their immediate environment requires Contact Precautions (gown and gloves).
3
Analyze the transmission mode of Rubeola (measles).
Identified as a pathogen transmitted via airborne aerosolized nuclei.
Aerosolized particles remain suspended in the air over long distances, requiring a negative-pressure room and an N95 respirator (Airborne Precautions).
4
Analyze the transmission mode of Hepatitis C.
Identified as a bloodborne pathogen.
Bloodborne pathogens are not transmitted through casual contact or respiratory droplets. Standard precautions apply for routine care.

Anahtar Kavram

Standard and Transmission-Based Precautions
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