Matching diagnoses to transmission-based precautions
Question
A nurse is reviewing the diagnoses of newly admitted clients. Drag each diagnosis to the category of transmission-based precautions that should be added to standard precautions.
Contact precautions
- Clostridioides difficile diarrhea
- Scabies
- MRSA in a draining wound
Droplet precautions
- Seasonal influenza
- Meningococcal meningitis
Airborne precautions
- Active pulmonary tuberculosis
- Measles (rubeola)
Answer
Contact precautions: Clostridioides difficile diarrhea; Scabies; MRSA in a draining wound · Droplet precautions: Seasonal influenza; Meningococcal meningitis · Airborne precautions: Active pulmonary tuberculosis; Measles (rubeola)
Rationale
The category follows the main way each organism spreads. Organisms passed by touching the client, the skin or contaminated surfaces, such as C. difficile, scabies mites and MRSA in wound drainage, call for contact precautions with a gown and gloves. Pathogens carried in large respiratory droplets over short distances, such as influenza virus and Neisseria meningitidis, call for droplet precautions and a mask. Measles virus and the tuberculosis bacterium stay infectious in tiny particles that drift through the air, so these clients need an airborne infection isolation room and staff wear a fit-tested respirator of N95 level or better.
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
- Adapted from Open RN Nursing Health Promotion: OTHER CHILDHOOD DISORDERS
- Appendix A: Type and Duration of Precautions Recommended for Selected Infections and Conditions (Source: CDC)
- State Operations Manual
Last verified: 2 independent automated checks Question rn-sic-00347, version 1
Checks are automated. No licensed clinician has reviewed this question. Check the sources and your program’s materials.
Report an error in this question. For education only; not medical advice. See all sources and licenses.