A critical care nurse is preparing for the arrival of a client transferring from a skilled nursing facility. The transfer report indicates the client has a multidrug-resistant *Acinetobacter baumannii* wound infection and is exhibiting hemoptysis with suspected pulmonary tuberculosis. Which of the following actions should the nurse incorporate into the plan of care? Select all that apply.
- Position the client in a private, negative-pressure isolation room upon unit arrival.Cevap
- Utilize a particulate respirator mask, an isolation gown, and clean gloves when providing direct care.Cevap
- Apply a standard medical mask over the client's nose and mouth if movement outside the isolation environment is required.Cevap
- DDirect the unlicensed assistive personnel to interpret the client's baseline pulse oximetry readings upon admission.
- EKeep the isolation room door slightly open to ensure continuous visual monitoring of the client's respiratory effort.
- FPrioritize formulating the isolation care plan for this client over assessing a separate client who suddenly develops a narrowing pulse pressure.
Cevap
The correct actions are placing the client in a negative-pressure room, wearing a particulate respirator with a gown and gloves, and placing a standard mask on the client during transport.
The client requires combined Airborne and Contact precautions due to suspected pulmonary tuberculosis and a multidrug-resistant wound infection. Appropriate interventions include placing the client in a negative-pressure room, wearing a particulate respirator along with a gown and gloves to provide direct care, and placing a standard medical mask on the client during transport to contain expelled respiratory droplets.
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Anahtar Kavram
Combined Airborne and Contact Precautions alongside Safe Delegation and Prioritization