Chapter 21 - Prioritization, Delegation, and Assignment Q&A 100% All Verified 2023

A client presents to triage with fever, myalgia, severe headache, abdominal pain, vomiting, diarrhea, and unexplained bruising that started after returning from Africa. The triage nurse suspects, but is unsure, that the client may have Ebola. What should the nurse do *first*? •Delay any additional assessment or questioning and don full personal protective equipment •Isolate the client in a private room and initiate standard, contact, and droplet precautions •Direct all clients and staff out of the triage area and call the infection control department •Continue assessment and questioning to determine the likelihood of exposure to Ebola - ANS-•Isolate the client in a private room and initiate standard, contact, and droplet precautions •First, the nurse would isolate the client and initiate standard, contact, and droplet precautions. The person can be taken out of isolation at any time if the health care provider (HCP) determines that the client does not have Ebola, but in the meantime, isolation precautions protect others. After the client is in isolation, the nurse's next actions are based on the acuity of the client. If the client needs immediate assistance, the nurse would alert the HCP and charge nurse. Selected team members would don personal protective equipment, and care would be initiated. The infection control department should be notified as soon as possible so that system-wide measures can be activated as needed. An emergency department clinical nurse specialist is training staff in how to don and doff personal protective equipment (PPE) when caring for clients with infections, such as Ebola. Which staff member has demonstrated the *most* grievous error during the practice session? •Triage nurse forgets to perform hand hygiene before donning PPE •Unlicensed assistive personnel performs self-inspection; then begins to doff PPE •Health care provider forgets to wipe shoes with disinfectant after doffing shoe covers •Emergency medical technician doffs both pairs of gloves first - ANS-•Emergency medical technician doffs both pairs of gloves first •All team members have made errors, but removing both pairs of gloves puts the emergency medical technician at the greatest risk because the outer surfaces of the remaining PPE are considered contaminated. According to the latest recommendations from the Centers for Disease Control and Prevention, the flow of donning is as follows: CONTINUES...