Soru

Zorluk: OrtaStandard and Transmission-Based Precautions

A nursing supervisor is conducting infection control rounds on a medical-surgical unit. Which of the following observed staff actions indicate appropriate adherence to transmission-based precautions? (Select all that apply.)

  1. A nurse wears a standard surgical mask while assessing the lung sounds of a client with Bordetella pertussis.Cevap
  2. B
    An unlicensed assistive personnel (UAP) cleanses hands with an alcohol-based hand rub after handling soiled linens from a client with Clostridioides difficile.
  3. C
    A transport technician places an N95 respirator on a client with active pulmonary tuberculosis before transporting them to the radiology department.
  4. A nurse leaves a dedicated reusable blood pressure cuff and stethoscope inside the room of a client infected with methicillin-resistant Staphylococcus aureus (MRSA).Cevap
  5. E
    A charge nurse assigns a client with seasonal influenza to a negative-pressure airborne infection isolation room (AIIR).
  6. A nurse removes their N95 respirator in the anteroom after exiting and closing the door to the room of a client with disseminated varicella-zoster.Cevap

Cevap

The correct actions involve wearing a surgical mask for pertussis (droplet precautions), dedicating equipment for MRSA (contact precautions), and removing the N95 respirator outside the room for disseminated varicella (airborne precautions).
Appropriate infection control practices mandate droplet precautions (surgical mask) for Bordetella pertussis, contact precautions (dedicated disposable or room-restricted equipment) for MRSA, and removing an N95 respirator only after safely exiting a negative-pressure room for a client with an airborne disease like disseminated varicella.

Adım Adım Çözüm

1
Analyze each client's pathogen to determine the correct category of transmission-based precautions (Contact, Droplet, or Airborne).
Pertussis = Droplet; C. difficile = Contact (Enteric); Tuberculosis = Airborne; MRSA = Contact; Influenza = Droplet; Disseminated varicella = Airborne + Contact.
Identifying the transmission route is the first step in determining appropriate infection control interventions.
2
Evaluate the specific PPE, room assignment, or transport action being performed in each option.
Surgical masks are correct for droplet. Soap and water (not alcohol) is required for enteric contact. Standard masks (not N95s) are worn by airborne clients during transport. Dedicated equipment is correct for contact. AIIRs are not used for droplet pathogens. N95 respirators are removed outside airborne isolation rooms.
Applying the specific guidelines for each isolation tier ensures patient and staff safety.

Anahtar Kavram

Appropriate application of standard and transmission-based precautions based on the specific pathogen and mode of transmission.
Tahmini Süre:1m 30s
Bu soruyu puanla