A charge nurse is reviewing infection control protocols with a group of newly hired nurses on a medical-surgical unit. Match each client clinical scenario with the most appropriate infection control precaution, personal protective equipment (PPE) requirement, or room assignment.
- A client with disseminated herpes zoster and weeping vesicular lesions.Airborne Infection Isolation Room (AIIR) with staff wearing an N95 respirator, gown, and gloves.
- A client with active Clostridioides difficile experiencing frequent, uncontained diarrhea.Private room, gown, gloves, and strict hand hygiene using soap and water.
- A client with suspected Haemophilus influenzae type b (Hib) epiglottitis, admitted 6 hours ago.Private room, with staff wearing a surgical mask when within 3 feet of the client.
- A client with confirmed pulmonary tuberculosis being transported out of the room for a stat CT scan.Client wears a standard surgical mask over their nose and mouth; staff use standard precautions.
Cevap
The correct matching pairs each clinical scenario with its precise transmission-based precaution, considering high-acuity nuances like combined airborne and contact precautions for disseminated viral infections, specific soap-and-water hand hygiene for spores, and proper source control during patient transport.
Each clinical scenario corresponds to a highly specific infection control requirement based on the pathogen's mode of transmission, physical characteristics (e.g., spore formation), or current clinical phase (e.g., active transport out of the unit).
Adım Adım Çözüm
Anahtar Kavram
Standard and Transmission-Based Precautions