Fundamentals Question #26

Question

When suctioning a client has hepatitis A, what type of personal protective equipment (PPE) should be applied?

Answers

  1. Gown, gloves and surgical mask
    • Rationale:

      This answer is not correct because a face shield or goggles are worn since there is a danger of splashing of body fluids during suctioning. A nurse caring for a client with Hepatitis A should implement contact precautions, which includes the requirement of gown and gloves, then face shield if body fluid exposure is expected.

  2. Gown, gloves and face shield
    • Rationale:

      This answer is correct because if a nurse is caring for a client with Hepatitis A, he/she should implement contact precautions. A face shield or goggles are worn since there is a danger of splashing of body fluids during suctioning. Hand washing is essential for prevention. PPE necessary to prevent transmission of Hepatitis A during suctioning is a gown, glove, and a face shield. A face shield or goggles are worn since there is a danger of splashing of body fluids (oral and nasal secretions).

  3. Gloves, goggles and N95 respirator
    • Rationale:

      This answer is not correct because a N-95 mask or respirator is not part of droplet precautions. A nurse caring for a client with Hepatitis A should implement contact precautions, which includes the requirement of gown and gloves, then a face shield if body fluid exposure is expected. A face shield or goggles are worn since there is a danger of splashing of body fluids (oral and nasal secretions).

  4. Gown, gloves and N95 respirator
    • Rationale:

      This answer is not correct because a N-95 mask or respirator is not part of droplet precautions. A nurse caring for a client with Hepatitis A should implement contact precautions, which includes the requirement of gown and gloves, then a face shield if body fluid exposure is expected. A face shield or goggles are worn since there is a danger of splashing of body fluids (oral and nasal secretions).

Overview

The nurse caring for a client with Hepatitis A should implement contact precautions. PPE necessary to prevent transmission of Hepatitis A is a gown, glove, and face shield. A face shield or goggles are worn since there is a danger of splashing of body fluids during suctioning.

Explanation

Learning Outcomes

Hepatitis A is an infection which is preventable by vaccine. It is contracted by ingesting fecal-contaminated food or water or being in close contact with a person with Hepatitis A. If a nurse is caring for a client with Hepatitis A, he/she should implement contact or enteric precautions (fecal oral route). Hand washing is essential for prevention. PPE necessary to prevent transmission of Hepatitis A is a gown, glove, and face shield or goggles. A face shield or goggles are worn since there is a danger of splashing of body fluids during suctioning.

Test Taking Tip

The nursing action of suctioning should be a cue in a question about PPE that a face shield is needed. Oral and nasal secretions are easily released into the air during suction, making it essential for face shield usage to contact with these secretions.

Video Rationale