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Zorluk: KolayStandard and Transmission-Based Precautions

During a shift change report, the nurse learns that an assigned client has a wound culture positive for Vancomycin-Resistant Enterococcus (VRE). What specific infection control measures should the nurse implement for this client? Select all that apply.

  1. Put on a protective gown immediately upon entering the client's care space.Cevap
  2. Use clean gloves when interacting with the client or touching items in the immediate surroundings.Cevap
  3. Assign the client to a single-patient room or cohort with another individual who has the same active VRE diagnosis.Cevap
  4. D
    Utilize a fit-tested N95 respirator mask while performing routine assessments.
  5. E
    Request a room with negative-pressure airflow for the client's stay.

Cevap

The nurse should put on a protective gown upon entering the room, use clean gloves for interaction or touching surroundings, and assign the client to a single-patient room or cohort with another VRE-positive client.
Vancomycin-Resistant Enterococcus (VRE) is a multidrug-resistant organism spread by direct or indirect contact. Standard care protocols for contact precautions dictate that healthcare personnel must don a gown and gloves upon entry into the client's room to prevent contaminating their clothing and hands. Furthermore, the client must be placed in a single-patient room or cohorted with a client who has the same active infection to halt transmission to uninfected clients.

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1
Identify the mode of transmission for Vancomycin-Resistant Enterococcus (VRE).
VRE is transmitted through direct physical contact with the infected client or indirect contact with contaminated surfaces.
Determining the transmission route dictates the specific isolation precautions required.
2
Select the appropriate category of transmission-based precautions.
Contact precautions are indicated.
Contact precautions are designed to reduce the risk of transmission of epidemiologically important microorganisms by direct or indirect contact.
3
Determine the required interventions for contact precautions.
Interventions include a single-patient room (or cohorting), and wearing a gown and gloves upon entering the room.
These physical barriers prevent the transfer of the pathogen to the healthcare worker and other clients.

Anahtar Kavram

Contact Precautions for Multidrug-Resistant Organisms
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