MED-SURG | RESPIRATORY 3 - INFECTIOUS PROCESSES 03.05 Isolation Precautions (MRSA, C. Difficile, Meningitis, Pertussis, Tuberculosis, Neutropenia)

Question 1 of 10 A 6 year old child has been admitted to the hospital for Rubeola. What kind of precautions should the nurse initiate for this client? Droplet Airborne Contact Protective

answer ✅Airborne Rubeola (measles) should be placed in airborne precautions, including a respirator mask and negative pressure room. Droplet Droplet precautions would be used for conditions such as pertussis. Contact Contact precautions would be used for conditions such as MRSA. Protective Protective precautions is an old term used to describe precautions used to protect clients susceptible to infection, for example neutropenia. This would not be the correct precautions for a child with Rubeola.

Question 8 of 10 A nurse is caring for a 2 year old child admitted to the hospital for whooping cough. What kind of precautions should the nurse initiate for this client? Standard Airborne Droplet Contact

answer ✅Droplet Droplet precautions involve standard precautions plus a surgical mask. This is used for conditions such as pertussis (whooping cough) and influenza. Airborne Airborne precautions involve the use of a respirator mask. This is used for conditions such as tuberculosis and measles. Contact Contact precautions involve the use of a gown and gloves. This is used for infections such as C. Diff, MRSA, and VRE. Standard Standard precautions (simply using gloves when in contact with bodily fluids) are insufficient for certain conditions.

Question 10 of 10 A nurse is caring for a 3 year old child who has been admitted to the hospital for Pertussis. What kind of precautions should the nurse initiate for this client? Contact Airborne Standard Droplet

answer ✅Droplet Droplet precautions involve standard precautions plus a surgical mask. This is used for conditions such as pertussis and influenza. Airborne Airborne precautions involve the use of a respirator mask. This is used for conditions such as tuberculosis and measles. Contact Contact precautions involve the use of a gown and gloves. This is used for infections such as C. Diff, MRSA, and VRE. Standard Standard precautions (simply using gloves when in contact with bodily fluids) are insufficient for certain conditions.

Question 3 of 10 Which of the following health conditions would require contact precautions in the healthcare environment? Select all that apply. Rhinovirus Scabies Meningitis Major wound infections Influenza

answer ✅Major wound infections Contact precautions describe protecting against microorganisms that can be spread through direct contact. Examples of conditions that require this type of precaution include any major wound infection, draining abscesses, C. difficile, and scabies to name a few. answer ✅Scabies Contact precautions describe protecting against microorganisms that can be spread through direct contact. Examples of conditions that require this type of precaution include any major wound infection, draining abscesses, C. difficile, and scabies to name a few. Meningitis Standard precautions are used for the client with meningitis. Influenza This condition requires droplet plus standard precautions. Rhinovirus This condition requires droplet plus standard precautions.

Question 7 of 10 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? I will have the doctor check a measles titer for you to see if you are immune Make sure that you adhere to the isolation precautions when you are in close proximity You should be fine if you consistently wash your hands You are protected since you have received the MMR vaccine

answer ✅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.

Question 6 of 10 Which of the following diseases is spread by airborne transmission? Measles Malaria Typhoid fever Cholera

answer ✅Measles Airborne transmission refers to passing infectious organisms between people by particles traveling in the air. The organisms are transmitted when one person breathes the particles into the respiratory tract. Some diseases that are spread by airborne transmission include measles, tuberculosis, and chickenpox. Cholera This is spread by the fecal-oral route. Typhoid fever This is spread by the fecal-oral route. Malaria This is spread from person to person through a mosquito.

Question 4 of 10 The client is under contact precautions for infection control. Which of the following microorganisms require contact precautions? Select all that apply. Disseminated Herpes zoster Hepatitis B Methicillin-resistant Staph aureus Clostridium difficile Influenza virus

answer ✅Methicillin-resistant Staph aureus Contact precautions protect the client from organisms passed by touching the client. These include MRSA and Clostridium difficile. Disseminated herpes zoster does ALSO requires airborne precautions. answer ✅Clostridium difficile Contact precautions protect the client from organisms passed by touching the client. These include MRSA and Clostridium difficile. Disseminated herpes zoster does ALSO requires airborne precautions . answer ✅Disseminated Herpes zoster Contact precautions protect the client from organisms passed by touching the client. These include MRSA and Clostridium difficile. Disseminated herpes zoster does ALSO requires airborne precautions. Hepatitis B Hepatitis B requires standard precautions. Influenza virus Influenza requires droplet precautions.

Question 5 of 10 Which of the following principles of using personal protective equipment (PPE) is correct? Placed used masks and gowns on a facility-approved tray for sterilization Wash or remove contaminated disposable gloves after use Utilize one set of PPE only between clients with the same infectious organism Remove personal protective equipment when it becomes visibly soiled

answer ✅Remove personal protective equipment when it becomes visibly soiled Wash or remove contaminated disposable gloves after use Utilize one set of PPE only between clients with the same infectious organism Placed used masks and gowns on a facility-approved tray for sterilization

Question 9 of 10 The client is under airborne precautions. What is a priority item for the nurse? Use a sterile field when starting IVs Keep the curtain drawn between the client and the roommate's bed Use a negative pressure room Have the client wear a mask in their room

answer ✅Use a negative pressure room In airborne precautions, the client would require a private, negative air pressure room with the door closed. The client needs to wear a mask when leaving the room, but not while in their own private room. Keep the curtain drawn between the client and the roommate's bed A client with airborne precautions would not have a roommate unless there was an extenuating circumstance. A curtain would not prevent the spread of an airborne pathogen. Have the client wear a mask in their room The client is required to wear a mask outside of the room, but not in the room. Use a sterile field when starting IVs Since microorganisms are spread through droplet nuclei in the air, a sterile field for IV starts is not required.

Question 2 of 10 A client presents for care at a primary care facility. The client is coughing and has a fever of 102 F. Which statement from the nurse regarding protective equipment is most appropriate in preventing the potential spread of this client's infection? You will need to wear a mask while you wait to see the provider You will need to wear a mask, a gown, and gloves while you wait to see the doctor Please wait while I put on a mask before taking your vital signs I'm sorry, but you cannot come in here with your symptoms

answer ✅You will need to wear a mask while you wait to see the provider When a client arrives for care and is symptomatic for a potentially infectious condition, the nurse should ask the client to wear a mask to avoid spreading germs. In this case, the client can be seen in the healthcare office and the nurse does not need to wear a mask while caring for him. The client does not need to wear a gown or gloves while waiting, as a mask is generally sufficient to protect others until the condition can be diagnosed. I'm sorry, but you cannot come in here with your symptoms Fever and cough are appropriate for a trip to a clinic for treatment. You will need to wear a mask, a gown, and gloves while you wait to see the doctor This is overly cautious and unnecessary for a client with a fever and cough. Please wait while I put on a mask before taking your vital signs The client should wear a mask, but the nurse does not need to wear a mask unless the client refuses. The nurse should also take care not to allow the client to cough directly at the nurse or others.