The charge nurse is planning assignments for the day. Which clients will require the nursing staff to institute contact precautions? Select all that apply. A)38-year-old with methicillin-resistant Staphylococcus aureus B)42-year-old with Clostridium difficile diarrhea C)69-year-old with pertussis infection D)72-year-old with vancomycin-resistant Enterococcus E)80-year-old with influenza

Question

Quizplus · Accepted Answer

Infections caused by methicillin-resistant Staphylococcus aureus(MRSA), C difficile, vancomycin-resistant Enterococcus (VRE), and scabies require contact precautions to be used. Contact precautions include: Placing client in private room (preferred) or cohorting clients with the same infection Using dedicated equipment (must be disinfected when removing from room) Wearing gloves when entering room Perform proper hand hygiene before exiting room (use soap and water or alcohol-based hand rubs for MRSA and VRE, but only soap and water for C difficile and scabies) Wearing gown with client contact and removing before leaving room Place door notice for visitors Having client leave room only for essential clinical reasons (ie, tests, procedures). If an x-ray is needed, try to arrange for a portable one. (Option C) Clients with pertussis infection (whooping cough) need droplet precautions. (Option E) Influenza requires droplet precautions. Educational objective: Clients with multidrug-resistant organisms (MRSA, VRE), C difficile diarrhea, and scabies require nursing staff to implement contact precautions.

The Charge Nurse Is Planning Assignments for the Day