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Zorluk: Çok zorStandard and Transmission-Based Precautions

A charge nurse is observing staff members implement standard and transmission-based precautions on a medical-surgical unit. Which of the following actions indicate appropriate infection control practices? Select all that apply.

  1. Removing the N95 respirator outside the client's room after exiting the negative-pressure room of a client with disseminated herpes zoster.Cevap
  2. B
    Initiating airborne precautions and placing a client with localized herpes zoster and an intact immune system into a negative-pressure room.
  3. C
    Using an alcohol-based hand rub for hand hygiene immediately after emptying the bedside commode of a client with Clostridioides difficile.
  4. Applying a standard surgical mask over the mouth and nose of a client with active pulmonary tuberculosis prior to transporting the client to the radiology department.Cevap
  5. E
    Removing the face shield and surgical mask before doffing a contaminated isolation gown and gloves when exiting the room of a client on droplet precautions.
  6. Leaving a dedicated stethoscope, thermometer, and blood pressure cuff inside the room of a client admitted with rotavirus gastroenteritis.Cevap

Cevap

The correct actions include removing the N95 respirator outside the room for a client with disseminated herpes zoster, placing a standard surgical mask on a client with tuberculosis during transport, and leaving dedicated medical equipment in the room of a client with rotavirus.
Correct infection control practices involve removing an N95 respirator outside an airborne isolation room to prevent inhalation of suspended particles. Furthermore, providing a standard surgical mask for a client with tuberculosis during transport effectively contains their respiratory secretions, and utilizing dedicated equipment for a client with rotavirus appropriately minimizes the risk of indirect contact transmission.

Adım Adım Çözüm

1
Evaluate the precaution requirements and PPE doffing sequence for disseminated herpes zoster.
Disseminated zoster requires airborne and contact precautions. N95 respirators must be removed outside the negative-pressure room.
Removing the respirator inside the room risks inhalation of suspended airborne particles.
2
Determine the correct isolation protocol for localized herpes zoster in an immunocompetent client.
Standard precautions are sufficient if lesions are covered; airborne precautions are unnecessary.
The virus is localized to specific dermatomes and primarily spreads via direct contact with open lesions unless the client is immunocompromised.
3
Assess the proper hand hygiene method for Clostridioides difficile.
Soap and water must be used exclusively.
Alcohol-based sanitizers do not eradicate the resilient spores produced by C. difficile.
4
Identify the appropriate respiratory protection for transporting a client with active pulmonary tuberculosis.
The client must wear a standard surgical mask.
A standard mask captures the client's exhaled droplets, preventing environmental contamination. N95 respirators are designed for staff protection, not source control.
5
Review the correct sequence for doffing personal protective equipment.
Gloves and gown must be removed before facial protection.
Removing facial protection with contaminated gloves or while wearing a contaminated gown significantly increases the risk of mucous membrane exposure.
6
Determine the equipment handling protocols for rotavirus.
Dedicated equipment must remain in the client's room.
Rotavirus is highly contagious and transmitted via the fecal-oral route, necessitating contact precautions and dedicated tools to prevent cross-transmission.

Anahtar Kavram

Application of standard and transmission-based precautions, including proper PPE usage, transport protocols, and condition-specific isolation criteria.
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