A critical care nurse is planning care for a client admitted with suspected meningococcal meningitis and a heavily draining sacral wound infected with vancomycin-resistant Enterococcus (VRE). The client exhibits a persistent, productive cough. Which of the following infection control interventions should the nurse implement? Select all that apply.
- Don an isolation gown, clean gloves, a surgical mask, and a face shield prior to performing wound care or airway clearance.Cevap
- Apply a standard surgical mask to the client when transport to another department is necessary.Cevap
- Dedicate reusable medical equipment, such as a stethoscope and blood pressure cuff, solely for use with this client.Cevap
- DPlace the client in an Airborne Infection Isolation Room (AIIR) with negative-pressure airflow.
- ERequire all healthcare personnel to wear a fit-tested N95 respirator when entering the client's room.
- FInstruct the unlicensed assistive personnel (UAP) that an isolation gown is only necessary when directly touching the client's wound.
Cevap
The nurse must don a gown, gloves, surgical mask, and face shield for splash-prone procedures; apply a surgical mask to the client during transport; and dedicate reusable medical equipment to the client's room.
The client requires a combination of Droplet Precautions (for suspected meningococcal meningitis) and Contact Precautions (for VRE). Providing direct care—such as airway clearance or wound management for a coughing client—poses a high splash risk, necessitating a gown, gloves, surgical mask, and face shield. To prevent transmission, reusable medical equipment must remain in the room and be dedicated exclusively to this client. If transport is necessary, the client must wear a standard surgical mask to contain respiratory droplets.
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Anahtar Kavram
Combined Transmission-Based and Standard Precautions
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