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Zorluk: OrtaStandard and Transmission-Based Precautions

A bedside nurse is establishing the care plan for a newly admitted adult client who has a suspected Neisseria meningitidis infection. The client experiences severe photophobia and nuchal rigidity. Which of the following infection isolation interventions must be included in the client's care plan? Select all that apply.

  1. Don a standard surgical mask when providing direct care within 3 feet of the client.Cevap
  2. Place a standard surgical mask on the client during essential transport to other hospital departments.Cevap
  3. C
    Implement airborne infection isolation with negative-pressure room ventilation.
  4. Discontinue transmission-based precautions after the client receives 24 hours of appropriate intravenous antibiotics.Cevap
  5. E
    Put on a clean isolation gown and gloves prior to entering the client's room for routine rounding.

Cevap

The nurse should don a surgical mask when providing direct care, place a surgical mask on the client during essential transport, and maintain the precautions until 24 hours of effective antibiotics have been administered.
Neisseria meningitidis is spread via large respiratory droplets. Appropriate droplet precaution interventions include the nurse wearing a surgical mask during close contact, ensuring the client wears a mask during any required transport to contain secretions, and maintaining these precautions until the client has received 24 hours of effective antimicrobial therapy.

Adım Adım Çözüm

1
Identify the primary mode of transmission for Neisseria meningitidis.
Neisseria meningitidis is transmitted through large respiratory droplets.
Determining the pathogen's transmission route dictates the specific isolation category required.
2
Determine the required personal protective equipment (PPE) for droplet precautions.
A standard surgical mask is required when working within 3 feet of the client.
Large respiratory droplets do not remain suspended in the air and typically travel only short distances, making masks sufficient.
3
Evaluate transport and duration requirements for droplet precautions.
The client must wear a mask during transport, and isolation can end after 24 hours of effective antibiotic therapy.
Masking the client contains the source of infection, and 24 hours of targeted antibiotics eliminates communicability for this specific pathogen.
4
Differentiate droplet precautions from airborne and contact precautions to eliminate incorrect interventions.
Negative-pressure rooms and routine gown/glove use upon entry are excluded from the care plan.
Negative pressure is required for airborne pathogens, and routine gowning/gloving upon entry is required for contact pathogens.

Anahtar Kavram

Neisseria meningitidis requires droplet precautions, which mandate surgical masks for staff, masking the client during transport, and continuing isolation until 24 hours of targeted antibiotic therapy are completed.
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