Match each healthcare worker or visitor scenario with the most appropriate infection control directive based on Standard and Transmission-Based Precautions.
- Unlicensed assistive personnel (UAP) entering the room to empty a urinary catheter bag for a client with vancomycin-resistant enterococci (VRE).Must don a gown and clean gloves prior to room entry to prevent transmission during direct or indirect contact.
- A pregnant family member requesting to visit a pediatric client who has a confirmed diagnosis of rubella.Should be restricted from visitation if they lack documented immunity due to severe teratogenic risks.
- A respiratory therapist preparing to administer a nebulizer treatment to a client with suspected active pulmonary tuberculosis.Must wear a fit-tested N95 respirator or a powered air-purifying respirator (PAPR) to protect against aerosolized particles.
- Environmental services staff preparing to perform terminal cleaning of a room after a client with Clostridioides difficile is discharged.Must use a hypochlorite-based (bleach) solution for surface disinfection to effectively eradicate hardy spores.
Cevap
The UAP with VRE matches donning gown and gloves. The pregnant visitor with rubella matches restriction without immunity. The respiratory therapist with TB matches wearing an N95 respirator. The environmental staff with C. diff matches using a bleach-based solution.
Each clinical scenario correctly pairs a specific pathogen with its mandated infection control requirement. VRE requires Contact Precautions (gown and gloves). Rubella requires Droplet Precautions and poses specific fetal risks to pregnant individuals lacking immunity. Tuberculosis requires Airborne Precautions (N95/PAPR). C. difficile requires Contact Precautions and specialized sporicidal environmental cleaning (bleach) due to spore formation.
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Anahtar Kavram
Application of Transmission-Based Precautions across interdisciplinary healthcare roles, environmental cleaning, and visitor screening.
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