Page 424 - Saunders Comprehensive Review For NCLEX-RN
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suspected infection with pathogens
                                                                transmitted by respiratory droplets,
                                                                generated when coughing, sneezing, or
                                                                talking.
                                                             b. Private room or cohort client (a client
                                                                whose body cultures contain the same
                                                                organism)
                                                             c. Wear a surgical mask when within 3
                                                                feet of a client; place a mask on the
                                                                client when the client needs to leave
                                                                the room.
                                D. Contact precautions
                                             1. Diseases
                                                             a. Colonization or infection with a
                                                                multidrug-resistant organism
                                                             b. Enteric infections, such as Clostridium
                                                                difficile
                                                             c. Respiratory infections, such as
                                                                respiratory syncytial virus
                                                             d. Influenza: Infection can occur by
                                                                touching something with flu viruses
                                                                on it and then touching the mouth or
                                                                nose.
                                                             e. Wound infections
                                                             f. Skin infections, such as cutaneous
                                                                diphtheria, herpes simplex, impetigo,
                                                                pediculosis, scabies, staphylococci, and
                                                                varicella zoster
                                                             g. Eye infections, such as conjunctivitis
                                                             h. Indirect contact transmission may occur
                                                                when contaminated object or
                                                                instrument, or hands, are encountered.

                                                      2. Barrier protection

                                                             a. Private room or cohort client
                                                             b. Use gloves and a gown whenever
                                                                entering the client’s room.
                    V. Emergency Response Plan and Disasters
                                A. Know the emergency response plan of the agency.
                                B. Internal disasters are those that occur within the health care facility.
                                C. External disasters occur in the community, and victims are brought
                                   to the health care facility for care.

                                        D. When the health care facility is notified of a disaster, the

                                   nurse should follow the guidelines specified in the emergency
                                   response plan of the facility.
                                E. See Chapter 7 for additional information on disaster planning.




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