Matching infections to transmission-based precautions

  • NCLEX-RN
  • Safety and Infection Control
  • Drag and drop
  • Difficulty 3 of 5

Question

The charge nurse is assigning rooms for clients admitted with the following infections. Drag each infection to the type of transmission-based precautions that should be added to standard precautions.

Contact precautions

  • Clostridioides difficile infection
  • Draining wound infected with vancomycin-resistant enterococci

Droplet precautions

  • Pertussis (whooping cough)
  • Influenza
  • Meningitis caused by Neisseria meningitidis

Airborne precautions

  • Pulmonary tuberculosis, confirmed
  • Measles (rubeola)

Answer

Contact precautions: Clostridioides difficile infection; Draining wound infected with vancomycin-resistant enterococci · Droplet precautions: Pertussis (whooping cough); Influenza; Meningitis caused by Neisseria meningitidis · Airborne precautions: Pulmonary tuberculosis, confirmed; Measles (rubeola)

Rationale

Precautions match the way an organism travels. Large respiratory droplets travel only short distances, so a mask is added. Tiny particles that stay suspended in the air need an airborne infection isolation room and a respirator. Organisms spread by touch with the client or the environment, including C. difficile and resistant organisms in wounds, call for a gown and gloves.

RememberTouch = contact; large droplets = droplet; suspended particles = airborne.

Sources

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