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Zorluk: KolayStandard and Transmission-Based Precautions

A charge nurse on a medical-surgical unit is reviewing infection control requirements for newly admitted clients. Match each client's clinical presentation with the correct category of infection control precautions.

  • A client admitted with active pulmonary tuberculosisAirborne Precautions
  • A client admitted with a new diagnosis of pertussis (whooping cough)Droplet Precautions
  • A client admitted with a draining abdominal wound positive for vancomycin-resistant Enterococcus (VRE)Contact Precautions
  • A client admitted for fluid volume overload related to heart failure, with no infectious symptomsStandard Precautions

Cevap

Tuberculosis requires Airborne Precautions, Pertussis requires Droplet Precautions, VRE requires Contact Precautions, and Heart failure requires only Standard Precautions.
Appropriate infection control requires matching the pathogen's mode of transmission to the corresponding precaution category. Tuberculosis is an airborne disease (Airborne Precautions). Pertussis spreads via large droplets (Droplet Precautions). VRE spreads through direct contact with surfaces or clients (Contact Precautions). A non-infectious condition like heart failure requires only routine safety measures (Standard Precautions).

Adım Adım Çözüm

1
Determine the transmission route for pulmonary tuberculosis.
Matches with Airborne Precautions.
Tuberculosis spreads via small airborne droplet nuclei that can travel long distances.
2
Determine the transmission route for pertussis.
Matches with Droplet Precautions.
Pertussis (whooping cough) spreads through large respiratory droplets from coughing or sneezing.
3
Determine the transmission route for a VRE wound infection.
Matches with Contact Precautions.
VRE is a multidrug-resistant organism that spreads via direct contact with the wound or indirect contact with contaminated surfaces.
4
Determine the infection control needs for heart failure.
Matches with Standard Precautions.
Heart failure is a non-infectious condition, meaning only basic hand hygiene and routine safety measures are required.

Anahtar Kavram

Identifying the primary mode of transmission for common clinical conditions to select the correct isolation precautions.
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