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Zorluk: OrtaStandard and Transmission-Based Precautions

A nurse is admitting a client presenting with a severe headache, nuchal rigidity, and photophobia. The healthcare provider suspects Neisseria meningitidis. Additionally, the client reports experiencing frequent, watery diarrhea over the past two days, and a stool sample has been sent for Clostridioides difficile testing. Which of the following infection control interventions should the nurse include in the client's plan of care? (Select all that apply.)

  1. Don a standard surgical mask upon entering the client's room.Cevap
  2. B
    Perform hand hygiene with an alcohol-based hand rub immediately after removing personal protective equipment.
  3. Ensure dedicated medical equipment, such as a stethoscope, remains inside the client's room.Cevap
  4. D
    Request that the client be placed in a negative-pressure airborne infection isolation room.
  5. E
    Place an N95 respirator on the client when transport outside of the room is required.
  6. Instruct unlicensed assistive personnel (UAP) to wear a gown and gloves when assisting the client with a bedpan.Cevap

Cevap

The correct interventions are to don a surgical mask upon entry, keep dedicated medical equipment inside the room, and instruct all personnel to wear a gown and gloves for direct care.
The client's presentation necessitates concurrent droplet and contact/enteric precautions. Droplet precautions require staff to wear a standard surgical mask upon room entry. Contact precautions mandate the use of dedicated room equipment and require all personnel to wear a gown and gloves when providing direct care.

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1
Analyze the client's clinical presentation to determine the necessary transmission-based precaution categories.
The client has symptoms of Neisseria meningitidis, which requires droplet precautions, and suspected Clostridioides difficile, which requires contact/enteric precautions.
Identifying the specific pathogen transmission routes dictates the correct combination of personal protective equipment and environmental controls needed.
2
Select the appropriate interventions for droplet precautions.
Staff must don a standard surgical mask upon entry. The client must wear a standard surgical mask (not an N95) if transported outside the room.
Droplet precautions prevent the transmission of large respiratory particles generated by coughing, sneezing, or talking, which travel only short distances.
3
Select the appropriate interventions for contact and enteric precautions.
All personnel must wear a gown and gloves for direct care, medical equipment must be dedicated to the client, and hand hygiene must be performed with soap and water.
Clostridioides difficile spores are transmitted via direct contact and are highly resistant to the alcohol found in standard hand sanitizers.

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Standard and Transmission-Based Precautions
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