A client has been admitted with a catheter-associated, vancomycin-resistant enterococcal bacteremia. Which interventions should the nurse implement? Select all that apply. A)Keep dedicated equipment for client B)Perform hand hygiene before exiting the room C)Place a "No Visitors" sign on the client's door D)Wear a face mask when in the room E)Wear an isolation gown when providing direct care

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Quizplus · Accepted Answer

In addition to standard precautions, the client infected with multidrug-resistant organisms (eg, vancomycin-resistant enterococci [VRE] or methicillin-resistant Staphylococcus aureus [MRSA]), Clostridium difficile, and scabies will require contact precautions that include the following: Place client in a private room (preferred) or semi-private room with another client with the same infection Dedicate equipment for client (must be kept in the client's room and disinfected when removed from room) (Option A) Wear gloves when entering the room Perform excellent hand hygiene before exiting the room (use soap and water or alcohol-based hand rubs for MRSA and VRE, but only soap and water for C difficile and scabies) (Option B) Wear gown with client contact and remove it before leaving the room (Option E) Place door notice for visitors Ensure client leaves the room only for essential clinical reasons (ie, tests, procedures) (Option C) The client with MRSA or VRE is allowed to have visitors. However, these individuals will need instructions from the nursing staff about hand hygiene and the use of gloves and gowns and their disposal prior to leaving the client's room. A sign should be placed on the client's door to inform visitors about these precautions. (Option D) A face mask is required for droplet precautions. An N95 particulate respirator mask is required for certain airborne precautions (eg, tuberculosis). Educational objective: The client with multidrug-resistant organism (MRSA or VRE) infections, C difficile diarrhea, or scabies will require institution of contact precautions such as good hand hygiene on entry and exit of the client's room, gloves on entry, and a gown for direct client care. The client's room should have dedicated equipment, and the door should have a sign informing visitors about these precautions.

A Client Has Been Admitted with a Catheter-Associated, Vancomycin-Resistant Enterococcal