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Chapter 34: Problem 800

Which precaution measures would be instituted when a client has shigella? Mark all that apply. A. Client is placed in a private, negative airflow pressure room. B. Client is placed in a private room or with other clients with infection caused by the same organism. C. __ Use mask at all times while in the client's room. D. Use mask when working within 3 feet of the client. E. ___Use gown and protective barriers when giving direct care. F. ___ Mask on client if transported out of room. G. Use gloves at all times when caring for clients. H. Use gloves when there is risk of exposure to blood or body fluids.

Short Answer

Expert verified
Precaution measures for a client with shigella include: B. Client in a private room or with others with the same infection, E. Use gown and protective barriers for direct care, F. Mask on client if transported, H. Use gloves for risk of exposure to fluids.

Step by step solution

01

Understanding Shigella Infection

Shigella is a bacteria that causes an infection called shigellosis, primarily resulting in diarrhea. Transmission is typically via the fecal-oral route, often through direct person-to-person contact or ingestion of contaminated food or water.
02

Identifying Appropriate Precaution Measures

Precautionary measures should aim to reduce the risk of spreading the infection and protect healthcare providers. These include proper hand hygiene, using personal protective equipment (PPE) when necessary, and isolating the infected client to prevent transmission to others.
03

Reviewing the Provided Options

Based on best practices for infection control, options that align with standard and contact precautions for shigella include placing the client in a private room or cohorting (B), using gowns and protective barriers for direct care (E), making the client wear a mask if transported (F), and using gloves when there's a risk of exposure to bodily fluids (H).
04

Marking the Correct Answer

The correct precautions are private room/cohorting (B), protective barriers (E), mask on client if transported (F), and gloves with risk of fluids (H). There's no need for a negative pressure room (A) or masks at all times (C, D) as shigella is not airborne. Gloves should be used as needed for contact precautions (G), but not necessarily at all times.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Shigella Infection
Shigella infection, also known as shigellosis, is a highly contagious bacterial disease characterized primarily by diarrhea, fever, and stomach cramps.

Shigella bacteria typically spread through direct contact or by consuming contaminated food or water. Understanding its transmission is crucial for implementing effective infection control strategies. Severe cases may require antibiotic treatment, but preventing spread is a key public health strategy.

It鈥檚 important for students to identify the symptoms of shigellosis and to know that it can be particularly dangerous for the very young, the elderly, and those with compromised immune systems.
Infection Control Measures
Infection control measures are protocols used to prevent the spread of infections within healthcare settings and the broader community. These measures include thorough handwashing, proper disposal of waste, and the disinfection of surfaces and instruments.

Often tailored to the specific pathogen, these measures can range from basic hand hygiene to advanced sterilization processes for equipment. Proper education on when and how to apply these measures is critical in maintaining a safe environment and preventing outbreaks.
Personal Protective Equipment (PPE)
Personal Protective Equipment (PPE) is essential in safeguarding healthcare workers from exposure to infectious agents. PPE refers to the wearable equipment designed to create a barrier between the wearer and potential contaminants.

This equipment can include gloves, gowns, masks, face shields, and goggles. The proper selection, use, and disposal of PPE are paramount in infection control practices, particularly with pathogens capable of easy transmission, like Shigella. Training on the correct use of PPE is also a critical component of healthcare worker safety.
Isolation Precautions
Isolation precautions are implemented to contain pathogens and reduce the risk of transmitting infections, especially in healthcare settings. For a shigella infection, this may involve placing the patient in a private room or cohorting them with others infected by the same pathogen.

Isolation includes the use of PPE when interacting with the patient, and special care when the patient needs to be moved out of the room for procedures or transfer. Understanding the various levels of isolation鈥攃ontact, droplet, airborne, and universal鈥攊s essential for proper infection control.

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Most popular questions from this chapter

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