A charge nurse is auditing the infection control protocols for a newly admitted client who has frequent, severe diarrhea testing positive for *Clostridioides difficile*, as well as a chronic productive cough with pending sputum cultures for suspected *Mycobacterium tuberculosis*. Which of the following actions are appropriate for the nurse to include in the plan of care? (Select all that apply.)
- Place the client in a single-patient room equipped with negative-pressure airflow.Cevap
- Perform hand hygiene strictly with soap and water upon exiting the client's environment.Cevap
- CWear a fluid-resistant surgical mask when entering the room to deliver medications.
- Place a standard surgical mask on the client if transport to the radiology department is required.Cevap
- ERemove the isolation gown and gloves in the hallway immediately after exiting the client's room.
- FDelegate the initial education of family members regarding required isolation apparel to the unlicensed assistive personnel.
Cevap
The appropriate actions include placing the client in a negative-pressure room, using soap and water for hand hygiene, and placing a standard surgical mask on the client during any necessary transport.
The client requires a combination of airborne precautions for suspected tuberculosis and contact/enteric precautions for Clostridioides difficile. A negative-pressure room is essential to prevent airborne transmission to other areas. Handwashing with soap and water is mandatory because alcohol-based rubs do not eradicate C. difficile spores. When a client on airborne precautions must be transported, they should wear a standard surgical mask to contain their respiratory secretions; an N95 is for staff protection, not client source control.
Adım Adım Çözüm
Anahtar Kavram
Application of concurrent Airborne and Contact/Enteric Precautions
Tahmini Süre:1m 30s