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Zorluk: KolayStandard and Transmission-Based Precautions

An adolescent client is admitted to the unit with a low-grade fever, cervical lymphadenopathy, and a diffuse pink maculopapular rash. Laboratory testing confirms an active infection with the rubella virus. Which specific infection control intervention must the nurse implement?

  1. Wear a standard surgical mask when entering the client's room.Cevap
  2. B
    Place the client in a negative-pressure airborne infection isolation room.
  3. C
    Don a protective gown and clean gloves as the primary precaution before touching the skin rash.
  4. D
    Instruct unlicensed assistive personnel that only standard precautions are required for daily care.

Cevap

The nurse must wear a standard surgical mask when entering the client's room.
Rubella (commonly known as German measles) is transmitted through large respiratory droplets from the respiratory secretions of infected individuals. According to standard infection control guidelines, clients with rubella require droplet precautions. The primary intervention for droplet precautions is wearing a standard surgical mask when entering the room or coming within close contact of the client to protect the healthcare worker's mucous membranes.

Adım Adım Çözüm

1
Identify the transmitted pathogen and its route of transmission based on the clinical vignette.
The pathogen is the rubella virus (German measles), which is transmitted primarily through large respiratory droplets.
Knowing the transmission route is essential for selecting the correct isolation precaution.
2
Determine the appropriate tier of transmission-based precautions for respiratory droplets.
Droplet precautions are required.
Droplet precautions are designed to prevent the spread of pathogens via large respiratory particles that travel short distances (usually within 3 to 6 feet).
3
Select the correct personal protective equipment (PPE) and environmental controls for droplet precautions.
A standard surgical mask is required upon entering the room.
Surgical masks block large respiratory droplets from reaching the nurse's mucous membranes.

Anahtar Kavram

Transmission-Based Precautions: Droplet Precautions
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