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Zorluk: KolayStandard and Transmission-Based Precautions

An older adult client is admitted to an acute care facility with severe, acute gastroenteritis. Laboratory testing confirms a norovirus infection. Which of the following infection control interventions should the registered nurse include in the client's plan of care? Select all that apply.

  1. Assign the client to a single-occupancy room with a dedicated bathroom.Cevap
  2. Perform hand hygiene strictly using soap and water upon exiting the room.Cevap
  3. Don a clean gown and non-sterile gloves immediately prior to room entry.Cevap
  4. D
    Maintain the client in an airborne infection isolation room with continuous negative pressure.
  5. E
    Require all healthcare personnel to wear a fitted N95 respirator when providing direct care.
  6. F
    Apply a standard surgical mask on the client during transport outside the room.

Cevap

Assign the client to a single-occupancy room with a dedicated bathroom, perform hand hygiene strictly using soap and water upon exiting the room, and don a clean gown and non-sterile gloves immediately prior to room entry.
Norovirus requires contact and enteric precautions. To prevent the spread of this highly contagious virus, the client must be isolated in a private room with a dedicated bathroom. Healthcare workers must wear a gown and gloves upon entering to prevent uniform and hand contamination. Because norovirus is resistant to alcohol-based hand sanitizers, hand hygiene must be performed strictly using soap and water to mechanically wash away the viral particles.

Adım Adım Çözüm

1
Identify the infectious agent and its primary mode of transmission.
Norovirus is highly contagious and transmits primarily through the fecal-oral route and direct contact with contaminated surfaces.
Understanding the mode of transmission is the foundation for determining the appropriate tier of isolation precautions.
2
Determine the necessary isolation precaution category.
The client requires Contact Precautions, specifically enteric precautions due to the nature of the pathogen.
Standard and Contact Precautions dictate the use of barriers and specific room assignments to halt transmission.
3
Select interventions that align with enteric contact precautions.
Appropriate interventions include a private room, donning gown and gloves upon entry, and utilizing soap and water for hand hygiene instead of alcohol-based rubs.
Alcohol-based sanitizers lack efficacy against certain enteric pathogens like norovirus and Clostridioides difficile, making mechanical removal with soap and water essential.

Anahtar Kavram

Contact and Enteric Precautions for Gastroenteritis
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