The nurse prepares to exit the room of a client on airborne and contact isolation precautions. Place the following nursing actions in the correct order. All options must be used. A)Discard the gown and gloves and perform hand hygiene B)Exit the negative-pressure room and close the door C)Place the call light within the client's reach D)Remove the gown and gloves without contaminating hands E)Remove the N95 respirator mask and perform hand hygiene

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11ecbb05_cb6a_b001_b433_a77d5f8af90f_MD0009_00 The order of removal for personal protective equipment (PPE) should be from most to least contaminated, because this reduces the risk of contaminating the nurse's skin and clothes. When exiting the room of a client on both contact and airborne precautions, the nurse should perform the following actions in order: Place the call light within the client's reach and ensure that the client's bed is locked and in the lowest position. Place the call light within the client's reach and ensure that the client's bed is locked and in the lowest position. Remove the gown and gloves (ie, contact isolation PPE) in order of most to least contaminated. The nurse can remove gloves and then gown, or alternately, can remove gown and gloves together. Remove the gown and gloves (ie, contact isolation PPE) in order of most to least contaminated. The nurse can remove gloves and then gown, or alternately, can remove gown and gloves together. Discard the gown and gloves and then perform hand hygiene. Discard the gown and gloves and then perform hand hygiene. Exit the negative pressure room and immediately close the door to prevent infectious airborne microorganisms from escaping into the hallway or isolation anteroom. Exit the negative pressure room and immediately close the door to prevent infectious airborne microorganisms from escaping into the hallway or isolation anteroom. Remove and discard the N95 respirator mask and then perform final hand hygiene. Remove and discard the N95 respirator mask and then perform final hand hygiene. Negative pressure rooms continuously filter air out of the room, creating a lower pressure gradient that prevents airborne microorganisms from escaping through the doorway. To prevent exposure to infectious airborne microorganisms, nurses should remove N95 respirator masks only after exiting the room. Educational objective: Personal protective equipment should be removed in order from most to least contaminated. The gown and gloves may be removed together. For clients on airborne precautions, the nurse should exit the negative pressure room and close the door before removing the N95 respirator mask. Removing the mask in the room risks exposure to infectious airborne microorganisms.

The Nurse Prepares to Exit the Room of a Client