Hesi RN Bsn 225 Fundamentals Proctored Exam
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Hesi RN Bsn 225 Fundamentals Proctored Exam
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Question: 1 of 31HESI RN BSN 225 Fundamentals Proctored Exam
An unlicensed assistive personnel (UAP) is asked to answer the call light for a client with streptococcal pharyngitis for whom droplet precautions have been implemented. The UAP refuses, informing the nurse of not being fitted for an N95 respirator mask. Which action should the nurse take?
Explanation
Choice A reason: Checking for staff with fitted N95 masks before reassigning tasks is time-consuming and unnecessary. Streptococcal pharyngitis spreads via large respiratory droplets, requiring only droplet precautions with a standard surgical mask, gloves, and eye protection. N95 respirators are reserved for airborne pathogens or aerosol-generating procedures, which are not indicated here. This action delays care and misallocates resources, as the UAP can safely respond with standard precautions. Choice B reason: A standard face mask suffices for droplet precautions, as streptococcal pharyngitis is transmitted through large respiratory droplets, not fine aerosols. CDC guidelines endorse surgical masks, gloves, and eye protection for routine care of such patients. N95 masks are unnecessary unless aerosol-generating procedures occur. This option ensures immediate, safe care delivery while adhering to evidence-based infection control protocols. Choice C reason: Sending the UAP for immediate N95 fitting is inefficient and unwarranted. The fitting process requires trained personnel and time, delaying patient care. Droplet precautions for streptococcal pharyngitis do not require N95 masks, as the pathogen is not airborne. This action overcomplicates the response, misaligns with CDC guidelines, and diverts focus from the patient’s immediate needs. Choice D reason: Advising the UAP to use a standard mask for vital signs and later get fitted for an N95 for personal care is unnecessarily complex. Droplet precautions with a standard mask are sufficient for all routine interactions with this client. Requiring an N95 for personal care escalates precautions without scientific basis, delays care, and misuses resources.
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