Matching infections to transmission-based precautions
Question
The charge nurse is assigning rooms for clients admitted with the following infections. Drag each infection to the type of transmission-based precautions that should be added to standard precautions.
Contact precautions
- Clostridioides difficile infection
- Draining wound infected with vancomycin-resistant enterococci
Droplet precautions
- Pertussis (whooping cough)
- Influenza
- Meningitis caused by Neisseria meningitidis
Airborne precautions
- Pulmonary tuberculosis, confirmed
- Measles (rubeola)
Answer
Contact precautions: Clostridioides difficile infection; Draining wound infected with vancomycin-resistant enterococci · Droplet precautions: Pertussis (whooping cough); Influenza; Meningitis caused by Neisseria meningitidis · Airborne precautions: Pulmonary tuberculosis, confirmed; Measles (rubeola)
Rationale
Precautions match the way an organism travels. Large respiratory droplets travel only short distances, so a mask is added. Tiny particles that stay suspended in the air need an airborne infection isolation room and a respirator. Organisms spread by touch with the client or the environment, including C. difficile and resistant organisms in wounds, call for a gown and gloves.
Sources
Sources marked “Adapted from” are licensed under CC BY 4.0. We changed the material: its facts are rewritten into an original question, answer options and rationale. The original authors and publishers do not endorse SwipeExam.
- III. Precautions to Prevent Transmission of Infectious Agents (Source: CDC)
- Adapted from Open RN Nursing Skills, 2nd edition: Chapter 4 Aseptic Technique
- Appendix A: Type and Duration of Precautions Recommended for Selected Infections and Conditions (Source: CDC)
- IV: Recommendations (Source: CDC)
- Clinical Overview of Measles (Source: CDC)
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