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Zorluk: OrtaStandard and Transmission-Based Precautions

A community health nurse is providing discharge instructions to several clients and their families regarding infection control practices in the home setting. Which of the following teaching points demonstrate accurate understanding of transmission-based precautions? Select all that apply.

  1. Instructing the family of a client with Clostridioides difficile to clean bathroom surfaces and high-touch areas with a diluted bleach solution.Cevap
  2. Advising a client with active pulmonary tuberculosis to wear a standard surgical mask when sharing common living areas with household members.Cevap
  3. C
    Teaching a client with a methicillin-resistant Staphylococcus aureus (MRSA) wound that family members should wear sterile gloves when assisting with dressing changes.
  4. D
    Advising a client with hepatitis C virus (HCV) to wash their eating utensils and dishes separately from the rest of the household.
  5. E
    Instructing the family of a client with norovirus to use alcohol-based hand sanitizer after assisting the client with toileting or cleaning up emesis.

Cevap

The correct teaching points are using a diluted bleach solution for C. difficile and having the client with active tuberculosis wear a standard surgical mask around others.
Standard and transmission-based precautions must be adapted appropriately for the home setting. Because Clostridioides difficile spores are highly resilient, a bleach-based solution is required to effectively disinfect bathroom surfaces and high-touch areas. For active pulmonary tuberculosis, the primary goal in the home is source control; therefore, the infected client should wear a standard surgical mask when in the presence of household members to contain infectious droplet nuclei.

Adım Adım Çözüm

1
Analyze the cleaning requirement for C. difficile in the home.
C. difficile is transmitted via contact and forms resilient spores. Bleach is required to destroy these spores.
This confirms that instructing the family to use a bleach solution is a correct infection control measure.
2
Determine the appropriate source control for a client with active TB at home.
TB is transmitted via the airborne route. The infected client wearing a standard surgical mask prevents droplet nuclei from entering the shared air space.
This confirms that advising the TB client to wear a mask in common areas is a correct measure.
3
Evaluate the glove requirements for MRSA dressing changes at home.
Clean gloves are acceptable and sufficient for home wound care; sterile gloves are not required.
This rules out the option requiring sterile gloves for MRSA.
4
Determine the transmission route and requirements for Hepatitis C.
Hepatitis C is bloodborne, not spread by saliva or casual contact.
This rules out the need for washing dishes separately.
5
Assess the appropriate hand hygiene method for norovirus.
Norovirus is an unenveloped virus that is resistant to alcohol-based sanitizers; soap and water is mandatory.
This rules out the use of alcohol-based hand sanitizer.

Anahtar Kavram

Home-based infection control requires adapting hospital transmission-based precautions, focusing on appropriate pathogen-specific hand hygiene, environmental cleaning, and source control.
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Standard and Transmission-Based Precautions

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