A quality assurance nurse is reviewing incident reports related to infection control practices on a medical-surgical unit. Which documented event represents a breach in transmission-based precaution protocols?
- A client with confirmed pulmonary tuberculosis wearing an N95 respirator during transport to the radiology department.Cevap
- BA nurse donning a standard surgical mask before entering the room of a client diagnosed with pertussis.
- CA provider performing hand hygiene with soap and water after exiting the room of a client with Clostridioides difficile.
- DA designated stethoscope remaining inside the isolation room of a client with vancomycin-resistant enterococci.
Cevap
A client with confirmed pulmonary tuberculosis wearing an N95 respirator during transport represents a breach in transmission-based precaution protocols.
The documented event involving the client with tuberculosis represents a breach. Clients on airborne precautions, such as those with active pulmonary tuberculosis, should wear a standard surgical mask—not an N95 respirator—when transported outside their negative-pressure room. A standard surgical mask is sufficient to contain the client's exhaled respiratory droplets. N95 respirators are required for healthcare personnel entering the room to protect them from inhaling droplet nuclei, but they are not appropriate or necessary for the client to wear.
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Anahtar Kavram
Appropriate PPE selection for source control during the transport of clients on airborne precautions.