Fundamentals Question #23

Question

What type of isolation precaution(s) will be appropriate for a client with influenza A?

Answers

  1. Universal
    • Rationale:

      This answer is not correct because universal or standard precautions are not enough to protect individuals and prevent the spread of influenza type A. Influenza is transmitted through direct contact and droplets expelled into the air. According to the CDC, everyone who comes in contact with a person in droplet precaution should perform hand hygiene before and after entering the room, wear a mask, and either a face shield or goggles. A person in contact precautions would also include a gown. All PPE is donned before entering the client room and doffed before exiting, with hand hygiene before and after being in the room.

  2. Airborne
    • Rationale:

      This answer is not correct because influenza A is not a pathogen requiring airborne precautions. It is not transmitted through the air, but through droplets. Influenza is transmitted through direct contact and droplets expelled into the air, therefore contact and droplet precautions should be implemented.

  3. Airborne and Contact
    • Rationale:

      This answer is not correct because influenza A is not a pathogen requiring airborne precautions. It is not transmitted through the air, but through droplets. Influenza A is transmitted through direct contact and droplets expelled into the air, therefore contact and droplet precautions should be implemented.

  4. Droplet and Contact
    • Rationale:

      This answer is correct because Influenza A is transmitted through direct contact and droplets expelled into the air, therefore contact and droplet precautions should be implemented. According to the CDC, everyone who comes in contact with a person in droplet precaution should perform hand hygiene before and after entering the room, wear a mask, and either a face shield or goggles. A person in contact precautions would also include a gown. All PPE is donned before entering the client room and doffed before exiting, with hand hygiene before and after being in the room.

Overview

Influenza is transmitted through direct contact and droplets expelled into the air.

Explanation

Learning Outcomes

Influenza is transmitted through direct contact and droplets expelled into the air. The influenza A virus requires more than standard precautions which includes hand hygiene, washing clothes in hot water, and wearing personal protective equipment when needed. Influenza A is transmitted via droplets. A client on droplet precautions has a condition such as influenza A, which can be spread to individuals by speaking, coughing, or sneezing. According to the CDC, everyone who comes in contact with a person in droplet precaution should perform hand hygiene before and after entering the room, wear a mask, and either a face shield or goggles.

Test Taking Tip

The difference between airborne and droplet transmission is that just breathing the same air of the person with an airborne pathogen can transmit the infections. This is in contrast to the transmission of the pathogen through a droplet that travels and transmits through a cough, sneezing, or droplets that project when a person is talking.

Video Rationale