During morning rounds, the healthcare team is reviewing isolation protocols for an adult client with a sacral pressure injury that is actively draining and cultured positive for Methicillin-resistant Staphylococcus aureus (MRSA). Which of the following interventions must be included in the client's plan of care? (Select all that apply)
- Dedicate noncritical patient-care equipment, such as a blood pressure cuff and stethoscope, exclusively to this client.Cevap
- BPlace the client in a specialized room with continuous negative-pressure airflow.
- Don a clean gown and gloves prior to entering the client's room.Cevap
- DWear a standard surgical mask whenever standing within 3 feet (0.9 meters) of the client's bed.
- Assign the client to a private, single-patient room.Cevap
- FDelegate the daily assessment of the wound's drainage characteristics to the unlicensed assistive personnel (UAP).
Cevap
The correct interventions are dedicating noncritical equipment to the client, donning a gown and gloves before entry, and assigning the client to a private room.
Methicillin-resistant Staphylococcus aureus (MRSA) is primarily spread through direct physical contact with the client or indirect contact with contaminated surfaces. Therefore, contact precautions must be implemented. These precautions mandate placing the client in a private room to limit exposure to others. Healthcare workers must wear a gown and gloves upon entering the room to prevent contamination of their hands and uniforms. Furthermore, dedicating reusable equipment (such as stethoscopes and blood pressure cuffs) solely to the infected client is critical to prevent the mechanical transfer of the bacteria to other vulnerable clients.
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Anahtar Kavram
Contact Precautions and Appropriate Delegation