An infection prevention nurse is conducting a unit audit and reviewing the current isolation protocols for four assigned clients. Match each client's clinical presentation to the most appropriate evidence-based infection control intervention.
- An individual with confirmed Mycobacterium tuberculosis who must be transported to the radiology department.Provide a standard procedure mask for the client to wear during transit.
- A newly admitted adult with severe, uncontained diarrhea and a positive laboratory test for Clostridioides difficile spores.Perform hand hygiene strictly with soap and water upon exiting the client's room.
- An adolescent admitted with Neisseria meningitidis who has completed 36 hours of appropriate intravenous antimicrobial treatment.Transition the client's care to standard precautions as the required isolation period has elapsed.
- An older adult experiencing a disseminated herpes zoster outbreak with widespread vesicular lesions.Put on a fit-tested particulate respirator, isolation gown, and clean gloves prior to room entry.
Cevap
The correct matches are: Mycobacterium tuberculosis (transport) requires providing a standard procedure mask for the client. Clostridioides difficile requires performing hand hygiene strictly with soap and water. Neisseria meningitidis (after 36 hours of antibiotics) allows transitioning to standard precautions. Disseminated herpes zoster requires putting on a fit-tested particulate respirator, isolation gown, and clean gloves.
Each clinical scenario represents a distinct, high-yield rule within standard and transmission-based precautions. Transporting an airborne-isolation client requires source control via a standard procedure mask on the client. Spore-forming organisms like C. difficile mandate soap-and-water handwashing because alcohol is ineffective. Droplet precautions for meningococcal infections can safely be discontinued 24 hours after initiating effective antibiotics. Finally, disseminated herpes zoster requires a combination of both airborne and contact precautions to prevent transmission.
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Anahtar Kavram
Advanced application of transmission-based precautions involving transport protocols, spore-forming pathogens, temporal discontinuation criteria, and disseminated viral infections.