A nurse is caring for a patient with COVID-19. What mode of transmission requires the nurse to use a surgical mask when the patient is transported outside their room?
Airborne transmission
Contact transmission
Vector-borne transmission
Droplet transmission
The Correct Answer is D
A. Airborne transmission involves smaller particles that remain suspended in the air for long periods and requires an N95 or higher-level respirator, not just a surgical mask.
B. Contact transmission involves direct or indirect physical contact with the patient or contaminated surfaces; gloves and gown are required, but a surgical mask is not sufficient protection for this mode.
C. Vector-borne transmission occurs through carriers like mosquitoes or ticks and is not relevant to COVID-19.
D. Droplet transmission occurs when respiratory droplets from coughing, sneezing, or talking come into contact with mucous membranes. For COVID-19, a surgical mask on the patient during transport prevents respiratory droplets from spreading to others, protecting healthcare personnel and the environment.
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Related Questions
Correct Answer is B
Explanation
A. Droplet precautions are used for pathogens transmitted through large respiratory droplets, such as influenza or pertussis, not MRSA.
B. Contact precautions are appropriate for MRSA because it is transmitted via direct contact with the client or contaminated surfaces. This includes the use of gloves, gowns, and proper hand hygiene to prevent spread.
C. Protective (or reverse) precautions are designed to protect immunocompromised clients from infection, not to prevent transmission from the client.
D. Airborne precautions are required for pathogens that remain suspended in the air and can be inhaled, such as tuberculosis or measles, which is not the case with MRSA
Correct Answer is D
Explanation
A. Fairness involves treating others impartially and equitably, which is not the primary focus in this scenario.
B. Advocacy entails acting in the best interest of the client, such as speaking up for their needs, but it does not specifically address taking responsibility for one’s own actions.
C. Confidence refers to the nurse’s self-assurance in skills and decision-making, which may be present but is not the central professional behavior being demonstrated here.
D. Accountability is the nurse taking responsibility for their actions, including recognizing a medication error, monitoring the client for adverse effects, notifying the provider, and completing an incident report. Demonstrating accountability ensures transparency, promotes client safety, and reflects adherence to professional and ethical standards.
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