The nurse is placing the client on isolation precautions. which of the following interventions

Isolation precautions create barriers between people and germs. These types of precautions help prevent the spread of germs in the hospital.

Anybody who visits a hospital patient who has an isolation sign outside their door should stop at the nurses' station before entering the patient's room. The number of visitors and staff who enter the patient's room may be limited.

Different types of isolation precautions protect against different types of germs.

When you are close to patients or close to handling blood, bodily fluid, bodily tissues, mucous membranes, or areas of open skin, you must use personal protective equipment (PPE).

Follow standard precautions with all patients, based on the type of exposure expected.

Depending on the anticipated exposure, types of PPE that may be required include:

  • Gloves
  • Masks and goggles
  • Aprons, gowns, and shoe covers

It is also important to properly clean up afterward.

Transmission-based precautions are extra steps to follow for illnesses that are caused by certain germs. Transmission-based precautions are followed in addition to standard precautions. Some infections require more than one type of transmission-based precaution.

Follow transmission-based precautions when an illness is first suspected. Stop following these precautions only when that illness has been treated or ruled out and the room has been cleaned.

Patients should stay in their rooms as much as possible while these precautions are in place. They may need to wear a mask when they leave their rooms.

Airborne precautions may be needed for germs that are so small they can float in the air and travel long distances.

  • Airborne precautions help keep staff, visitors, and other people from breathing in these germs and getting sick.
  • Germs that warrant airborne precautions include chickenpox, measles, and tuberculosis (TB) bacteria infecting the lungs or larynx (voicebox).
  • People who have these germs should be in special rooms where the air is gently sucked out and not allowed to flow into the hallway. This is called a negative pressure room.
  • Anyone who goes into the room should put on a well-fitted respirator mask before they enter.

Contact precautions may be needed for germs that are spread by touching.

  • Contact precautions help keep staff and visitors from spreading the germs after touching a person or an object the person has touched.
  • Some of the germs that contact precautions protect from are C difficile, norovirus, and COVID-19. These germs can cause serious infection in the intestines or lungs.
  • Anyone entering the room who may touch the person or objects in the room should wear a gown and gloves.

Droplet precautions are used to prevent contact with mucus and other secretions from the nose and sinuses, throat, airways, and lungs.

  • When a person talks, sneezes, or coughs, droplets that contain germs can travel about 3 feet (90 centimeters).
  • Illnesses that require droplet precautions include influenza (flu), pertussis (whooping cough), mumps, and respiratory illnesses, such as those caused by coronavirus infections including COVID-19.
  • Anyone who goes into the room should wear a surgical mask.

Calfee DP. Prevention and control of health care-associated infections. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 266.

Centers for Disease Control and Prevention website. Isolation precautions. www.cdc.gov/infectioncontrol/guidelines/isolation/index.html. Updated July 22, 2019. Accessed October 24, 2021.

Palmore TN. Infection prevention and control in the health care setting. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 298.

Updated by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

the following nursing interventions is appropriate? A. Place the client in a room that is ventilated go the outside B. Wear a gown shen delivering the clients food tray C. Prohibit visitors while the clients infection is active D. Administer a tuberculin skin test prior to discharge

Answer & Explanation

Solved by verified expert

A. Place the client in a room that is ventilated go the outside

Patients suspected of having active tuberculosis should be admitted to an airborne precautions isolation room. A separate area and a negative pressure air handling system that exhausts to the outside are required for airborne precautions. The door must be kept shut. Cohorting occurs when patients who are infected with the same infection share a room.

Only transfer the patient out of the isolation room if absolutely required. The patient should wear a surgical mask upon leaving the isolation room and keep it on as long as they are not in the isolation room.

After treatment has begun and the healthcare professional has determined that the patient is not infectious, airborne precautions may be discontinued.

Step-by-step explanation

REFERENCES

Care of the patient with tuberculosis. (2019, July 18). Continuing Education for Nurses - Unlimited Nursing CEUs | CEUfast. https://ceufast.com/course/care-of-patient-with-tuberculosis

How a nurse should apply isolation nursing practices?

Droplet Isolation Precautions.
Wear A Mask. ... .
Wear Goggles. ... .
Remove PPE and Perform Hand Washing After Completing Care and Leaving the Room. ... .
The Patient Should Be in a Negative-Pressure Room. ... .
Wear an Appropriate Respirator. ... .
Dispose of PPE in the Adjunct Room, Not Another Patient's Room..

What are 4 types of isolation?

It recommended that hospitals use one of seven isolation categories (Strict Isolation, Respiratory Isolation, Protective Isolation, Enteric Precautions, Wound and Skin Precautions, Discharge Precautions, and Blood Precautions).

What are the principles of isolation nursing?

- The principle of isolation nursing is to isolate the micro-organism not the patient. - Source isolation procedures are the outcome of a risk assessment, which includes the source of infection, route of transmission and susceptibility of others.

What precaution should nurses take to prevent an airborne infection?

Airborne precautions are guidelines for the care of a person who has a disease that spreads through germs (particles) in the air. If you are a patient, keep the door to your room closed and wear a mask. If you are a visitor, check with the nurse before you enter the room, and wear a mask.