Safe, Effective Care Environment
61. What would the appropriate infection control technique be for changing a leg dressing on a client who has Pneumocystis jiroveci (formerly carinii) pneumonia (PCP)?
Safe, Effective Care Environment
61. What would the appropriate infection control technique be for changing a leg dressing on a client who has Pneumocystis jiroveci (formerly carinii) pneumonia (PCP)?
. Double-bag all contaminated dressings.
. Wear a mask during the dressing change.
. Wash hands after removing gloves.
. Place the client in protective isolation.
Test-Taking Tip
Look for hand washing and gloves first.
Content Area: Adult Health, Infectious Disease; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Safe and Effective Care Environment/Safety and Infection Control/Standard/Transmission-based/Other Precautions
Safe, Effective Care Environment
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Answer 1 is incorrect because the nurse is not responsible for double-bagging the soiled dressing, which would be placed in the contaminated receptacle. Answer 2 is incorrect because PCP is not transmitted through droplets. Masks and eyewear are only indicated when the procedure may produce splashes of blood or body fluids. A routine dressing change of a leg wound should not require a mask. Answer 3 is correct because standard (universal) precautions should be used, and washing hands is the most important technique for preventing disease transmission. Answer 4 is incorrect because reverse (protective) isolation would usually be indicated for a client with AIDS with a very low WBC count. There is no information indicating that that is the status.