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Zorluk: ZorStandard and Transmission-Based Precautions

During a pediatric clinical rotation, a nursing instructor is reviewing the proposed care plan of a nursing student assigned to a 4-year-old client. The client is admitted with suspected *Haemophilus influenzae* type b (Hib) epiglottitis and a draining sacral wound that is positive for *Acinetobacter baumannii*. Which of the following interventions proposed by the student indicate a correct understanding of transmission-based precautions and safe care? Select all that apply.

  1. Don a standard surgical mask prior to providing direct care to the client.Cevap
  2. B
    Place the client in an airborne infection isolation room (AIIR) with negative-pressure airflow.
  3. Keep dedicated, disposable medical equipment, such as a stethoscope, inside the client's room.Cevap
  4. Remove the isolation gown and gloves inside the room and perform hand hygiene before exiting.Cevap
  5. E
    Transfer the client to the radiology department without a mask, provided the transport staff wear appropriate respirators.
  6. F
    Delegate the initial assessment of the client's airway patency to the unlicensed assistive personnel (UAP) to minimize room entries.

Cevap

The correct interventions include donning a standard surgical mask prior to care, keeping dedicated disposable medical equipment inside the room, and removing the isolation gown and gloves inside the room followed by hand hygiene before exiting.
The client requires concurrent Droplet Precautions (due to Hib epiglottitis) and Contact Precautions (due to the Acinetobacter baumannii wound infection). Droplet precautions require healthcare workers to wear a standard surgical mask when providing direct care. Contact precautions mandate the use of dedicated, disposable medical equipment to prevent cross-contamination. Furthermore, to contain the contact pathogen, healthcare workers must remove their gown and gloves inside the client's room and perform hand hygiene immediately before crossing the threshold to exit.

Adım Adım Çözüm

1
Identify the transmission pathways for the specific pathogens involved in the clinical scenario.
Hib epiglottitis requires Droplet Precautions. Acinetobacter baumannii in a draining wound requires Contact Precautions.
Accurate identification of the isolation tiers dictates the specific personal protective equipment (PPE) and environmental controls needed.
2
Apply the protocols for Contact Precautions.
The nurse must use a gown and gloves upon entry, dedicate patient-care equipment to that single client, and doff the gown and gloves inside the room before performing hand hygiene.
These measures prevent the physical transfer of multidrug-resistant organisms to other clients or environmental surfaces outside the room.
3
Apply the protocols for Droplet Precautions.
The nurse must wear a surgical mask when in close contact. If transport is necessary, the client must wear a surgical mask as source control.
Droplet Precautions protect against large-particle respiratory droplets generated by coughing, sneezing, or talking.
4
Evaluate the proposed delegation of tasks.
Airway assessment is a critical nursing responsibility that cannot be delegated.
Regardless of infection control protocols, the registered nurse retains the responsibility for all initial and critical assessments, especially in a life-threatening condition like epiglottitis.

Anahtar Kavram

Concurrent Application of Droplet and Contact Precautions
Tahmini Süre:1m 30s
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Konular

Standard and Transmission-Based Precautions

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