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Zorluk: OrtaStandard and Transmission-Based Precautions

A medical-surgical nurse is preparing several clients for transport to various diagnostic departments. Which of the following infection control interventions are appropriate to implement during the transport process? Select all that apply.

  1. Place a standard surgical mask over the mouth and nose of a client with suspected pulmonary tuberculosis.Cevap
  2. Apply a clean, dry dressing to securely contain the draining abscess of a client infected with methicillin-resistant Staphylococcus aureus (MRSA).Cevap
  3. C
    Instruct the transport personnel to don an N95 respirator before accompanying a client diagnosed with seasonal influenza.
  4. D
    Delegate the initial teaching of isolation transport protocols to the unlicensed assistive personnel (UAP) assisting the client.
  5. Notify the receiving diagnostic department of the client's specific transmission-based precautions prior to their departure from the unit.Cevap
  6. F
    Allow a client with Bordetella pertussis to remove their surgical mask once inside the transport elevator to promote comfort.

Cevap

The correct interventions are placing a surgical mask on the client with tuberculosis, containing the MRSA wound with a clean dressing, and notifying the receiving department of the required precautions before transport.
Effective infection control during transport focuses primarily on 'source control.' For airborne diseases like tuberculosis, the client must wear a standard surgical mask to contain expelled droplet nuclei. For contact precautions like MRSA, infected areas must be entirely covered. Additionally, interdepartmental communication ensures the receiving staff can maintain an unbroken chain of infection control.

Adım Adım Çözüm

1
Identify the transmission mode for each pathogen presented in the scenario.
Tuberculosis is airborne; MRSA is contact; Influenza and Pertussis are droplet.
Accurate identification of the isolation category dictates the specific transport requirements.
2
Evaluate the source control measures proposed for the clients.
Masking the client with tuberculosis and covering the MRSA wound are correct source control measures. Allowing the client with pertussis to remove their mask violates source control principles.
During transport, the primary goal is source control (containing the pathogen at the client level) rather than relying solely on staff PPE.
3
Evaluate staff PPE and delegation actions against standard nursing scope and guidelines.
An N95 is incorrectly assigned for a droplet infection (influenza). Delegating initial teaching to a UAP violates scope of practice.
Nursing scope of practice strictly prohibits delegating teaching to UAPs, and infection control requires using the correct tier of PPE to prevent resource waste and ensure safety.

Anahtar Kavram

Infection Control: Client Transport on Transmission-Based Precautions
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