A registered nurse is assigned to care for an infant who is diagnosed with severe respiratory syncytial virus (RSV) and is prescribed continuous aerosolized ribavirin therapy. Recognizing the teratogenic and highly hazardous nature of this pharmacological agent, which of the following combinations of environmental controls and safety protocols must the nurse implement?
- Initiate administration within a negative-pressure isolation room using a specialized aerosol-scavenging tent, mandate the use of N95 respirators and eye protection for all entering staff, and explicitly restrict pregnant personnel from providing care.Cevap
- BAdminister the medication via a standard face mask in a private, positive-pressure room to prevent secondary infections, and require staff to don standard surgical masks and gloves prior to entry.
- CDelegate the direct observation of the continuous nebulizer therapy to an unlicensed assistive personnel (UAP) wearing a surgical mask and gown, allowing the registered nurse to minimize their cumulative hazardous exposure.
- DPrepare the medication at the bedside using a closed-system transfer device, administer it in a standard private room, and dispose of the used nebulizer tubing in a routine infectious waste receptacle.
Cevap
The nurse must use a negative-pressure room with a scavenging system, require N95 respirators and eye protection for staff, and restrict pregnant personnel from the care environment.
Ribavirin is a highly hazardous, teratogenic antiviral medication. When administered via continuous aerosolization, it poses a severe occupational exposure risk. Therefore, it must be administered using a specialized small particle aerosol generator (SPAG) inside a negative-pressure room to prevent the spread of toxic aerosols to other areas of the unit. Healthcare workers must wear N95 respirators (as standard surgical masks cannot filter these fine hazardous particles) along with eye protection. Furthermore, due to its documented teratogenic and embryocidal properties, pregnant staff members must be strictly excluded from caring for the client or entering the room.
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Anahtar Kavram
The administration of aerosolized hazardous drugs requires a strict synthesis of negative-pressure environmental controls, specialized airborne-level PPE, and targeted administrative staff restrictions to prevent occupational exposure.