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Zorluk: ZorStandard and Transmission-Based Precautions

A client is hospitalized with a confirmed Clostridioides difficile infection. During the shift, the client is additionally diagnosed with active pulmonary tuberculosis. The nurse updates the client's care plan to integrate the necessary transmission-based precautions. Which of the following interventions must the nurse implement? Select all that apply.

  1. Transfer the client to a single-occupancy airborne infection isolation room (AIIR) with negative-pressure airflow.Cevap
  2. Don a fit-tested N95 respirator, a disposable gown, and clean gloves prior to entering the client's room.Cevap
  3. C
    Cleanse hands thoroughly with an alcohol-based hand rub immediately after doffing the gown and gloves.
  4. D
    Remove the N95 respirator inside the client's room just before opening the door to exit.
  5. Place a standard surgical mask on the client and provide a clean hospital gown during transport for essential testing.Cevap
  6. F
    Delegate the initial instruction regarding PPE requirements for visitors to the unlicensed assistive personnel (UAP).

Cevap

The correct interventions are transferring the client to a negative-pressure AIIR, donning an N95 respirator along with a gown and gloves before entry, and applying a standard surgical mask and clean hospital gown to the client during transport.
The client requires a combination of Airborne Precautions (for tuberculosis) and Enteric Contact Precautions (for C. difficile). Airborne precautions necessitate placing the client in a negative-pressure airborne infection isolation room (AIIR) and the use of a fit-tested N95 respirator by healthcare personnel upon entry. Enteric Contact Precautions mandate wearing a gown and gloves when entering the room to prevent transmission of spores. During essential transport, the client acts as the source control; they must wear a standard surgical mask to contain airborne droplets and wear clean clothing or a hospital gown to contain contact pathogens.

Adım Adım Çözüm

1
Identify isolation requirements for Clostridioides difficile.
Enteric Contact Precautions are required, mandating a gown, gloves, and soap-and-water hand hygiene.
C. difficile is transmitted via contact and produces spores that are resistant to alcohol-based hand sanitizers.
2
Identify isolation requirements for active pulmonary tuberculosis.
Airborne Precautions are required, mandating a negative-pressure room and an N95 respirator (or PAPR) for staff.
Tuberculosis is transmitted via small airborne droplet nuclei that remain suspended in the air.
3
Synthesize the overlapping precautions to create a safe care environment.
The nurse must use a negative-pressure AIIR, don an N95, gown, and gloves prior to entry, and wash hands with soap and water upon exiting.
When a client has multiple infectious diseases, the most rigorous precautions for each transmission route must be combined.
4
Evaluate transport and delegation constraints.
Ensure the client wears a standard surgical mask and a clean gown for transport, and retain all teaching responsibilities.
The client requires source control for the airborne pathogen during transport, and teaching is outside the UAP's scope of practice.

Anahtar Kavram

Integrating Overlapping Airborne and Enteric Contact Precautions
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Konular

Standard and Transmission-Based Precautions

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