02.08 Isolation Precaution Types (PPE)
ANSWER D. ✅Droplet precautions Bacterial meningitis is a bacterial infection of the membrane covering the brain and spinal cord. The condition can be transmitted between clients and certain types of meningitis require droplet precautions. Therefore, the nurse will utilize droplet precautions until the type of bacteria is known. Contact precautions Contact precautions are used for preventing transmission through direct contact. Transmission of meningitis is prevented through droplet precautions. Custom precautions This is not a type of precaution the nurse would utilize with meningitis. Airborne precautions Airborne precautions are utilized to prevent transmission of particles < 5 microns. Droplet precautions would be utilized.
A 31-year-old client has developed meningococcal meningitis after recently traveling out of the United States. Which type of precautions would the nurse most likely implement in this situation? A. Custom precautions B. Droplet precautions C. Airborne precautions D. Contact precautions
ANSWER C ✅Make sure that you adhere to the isolation precautions when you are in close proximity Measles require airborne precautions and the client, in this case, should be kept in isolation in a negative airflow room. Regardless of immunity status, the daughter should follow isolation precautions until the client is no longer contagious to avoid contracting the illness, just as all healthcare personnel (who are required to be up to date on their MMR vaccine,) follow the isolation precautions. You are protected since you have received the MMR vaccine Despite being vaccinated against measles, all persons are required to follow isolation precautions because there is still a risk of transmission of the disease. I will have the doctor check a measles titer for you to see if you are immune A nurse would not offer this type of medical intervention to the family member of a hospitalized client, because the family member is not under a hospital provider's care. You should be fine if you consistently wash your hands Measles is an airborne disease, so hand washing does not protect a person from contracting the disease, whether or not they are vaccinated.
A 50-year-old client with measles has been admitted to the hospital and is in isolation. The client's daughter asks the nurse, "How can I keep from catching this myself if I have been vaccinated?" Which answer from the nurse is most appropriate? A. I will have the doctor check a measles titer for you to see if you are immune B. You should be fine if you consistently wash your hands C. Make sure that you adhere to the isolation precautions when you are in close proximity D. You are protected since you have received the MMR vaccine
ANSWER: B.C.D.E ✅ Educate the client and family members to use soap and water for hand washing instead of hand sanitizer When the nurse suspects that a client may have a condition requiring contact precautions, the nurse must place the client on precautions right away. If the stool sample is found to be negative for C. diff, the client may be taken off of precautions, but in the meantime placing the client on contact precautions is expected. Place the client a negative airflow room A negative airflow room is for airborne precautions, not contact precautions. ✅Obtain personal protective equipment outside the door for staff and family members Anyone entering the room, whether staff or visitors, MUST wear appropriate PPE, because all people can transmit the infection to others if they do not follow appropriate isolation procedures. ✅Obtain a door sign indicating the level of precaution and necessary personal protective equipment (PPE) A sign is necessary to notify anyone entering the room of the appropriate isolation procedure. ✅Place the client in a private room A client with a transmittable enteric infection must not share a room with another client.
Question 1 of 4 The nurse is caring for a client with watery diarrhea following a course of clindamycin. The nurse suspects clostridium dificile. Which of the following isolation precautions are necessary for this client? Select all that apply. A. Place the client in a private room B. Obtain personal protective equipment outside the door for staff and family members C. Educate the client and family members to use soap and water for hand washing instead of hand sanitizer D. Obtain a door sign indicating the level of precaution and necessary personal protective equipment (PPE) E. Place the client a negative airflow room
ANSWE A ✅Standard precautions Creutzfeldt-Jakob disease is a fatal brain disorder that can be transmitted between people. It is transmitted by an organism known as a prion. Although transmission of the disease is devastating and fatal, it is also rare. Healthcare providers should use standard precautions when caring for a client who has Creutzfeldt-Jakob disease. Airborne precautions Airborne precautions are used to prevent transmission of particles <5 microns. The prions responsible for Creutzfeldt-Jakob disease must be injected or ingested in order for transmission to occur. Droplet precautions The prions responsible for Creutzfeldt-Jakob disease are not transmitted through the air. Contact precautions Creutzfeldt-Jakob is transmitted through the injection or ingestion of infected tissue. Therefore, contact precautions are not necessary to prevent transmission. Reset Test
Question 4 of 4 A 60-year-old client has been admitted to the hospital with Creutzfeldt-Jakob disease. Which type of isolation precautions must the nurse use while caring for this client? A. Standard precautions B. Contact precautions C. Droplet precautions D. Airborne precautions
