can someone help me with this review question?

[jennifers]

This question is coming from page 205 in the Perry and Potter clinical nursing skills and Techniques book.

When placing a client under isolation precautions, it is important to:

1. Consider that the client may feel lonely and provide opportunity for social interaction

2. Keep visitors away from the client to avoid contagion

3. Wear gloves, a gown and face protection for each encounter.

4. Place the patient in a room with negative airflow for contact precautions.

I'm not understanding the rationale

the answer is number 1. I dont understand why you would encourage social interaction if there is a reason you are putting them under isolation. Please help.

[tnbutterfly - Mary, BSN]

All of these procedures are not applicable to all forms of isolation.

Which part do you not understand the rational for?

[tnbutterfly - Mary, BSN]

You would encourage them to talk to you, the health care worker who is observing all the correct precautions. It is part of the nurse's responsibility to meet all the needs of the patient......including social needs. Some people will need more socialization than others.....some people like to talk more than others. It will be your responsibility to make that assessment.

They can't talk to others unless they are observing the proper procedures. Many laypeople are uncomfortable entering an isolation room. And it is a good idea to limit visitors in certain types of isolation cases. Therefore the patient can oly talk to healthcare workers or to others on the phone.

[jennifers]

I guess i was reading too much into answer #1. I assummed it meant to provide social interaction from their family.

I guess maybe i'm not fully understanding "isolation precautions". in my book it says isolation precautions include the appropriate use of gowns, masksy...etc. It talks about loneliness and negative airflow and all that.

NCLEX questions are new to me and I can see already that they are different from other test type questions.

So basically you guys are saying that under isolation precautions 2,3 and 4 are not always necessary?

This question is coming from page 205 in the Perry and Potter clinical nursing skills and Techniques book.

When placing a client under isolation precautions, it is important to:

1. Consider that the client may feel lonely and provide opportunity for social interaction

2. Keep visitors away from the client to avoid contagion

3. Wear gloves, a gown and face protection for each encounter.

4. Place the patient in a room with negative airflow for contact precautions.

I'm not understanding the rationale

the answer is number 1. I dont understand why you would encourage social interaction if there is a reason you are putting them under isolation. Please help.

[jennifers]

ok, i think i got it. So isolation precautions could simply be "contact precautions" so 2,3, and 4 wouldnt be necessary. Oh boy this is going to be a tough year.

[I want to be a nurse]

i guess i was reading too much into answer #1. i assummed it meant to provide social interaction from their family.

i guess maybe i'm not fully understanding "isolation precautions". in my book it says isolation precautions include the appropriate use of gowns, masksy...etc. it talks about loneliness and negative airflow and all that.

nclex questions are new to me and i can see already that they are different from other test type questions.

so basically you guys are saying that under isolation precautions 2,3 and 4 are not always necessary?

[color=deepskyblue]hey, i am using the same book and just went over isolation procedures last wednesday.

i would say the answer is #1

the way i understand it is you don't need face protection if there isn't going to be any splashing of body fluids, don't need a gown if you are just going in and not touching the patient, and the negative air flow is for patients that have things like tb. i don't think it would be a good idea to keep visitors away...i think families probably have the right to see their family if they are willing to dress up...kwim???

hth

maya

[tnbutterfly - Mary, BSN]

You might find this site helpful.

http://www.healthline.com/galecontent/isolation-1

Yes it is OK to allow/encourage family visits......as long as they practice proper technique. That is part of "providing opportunity for social interaction". You as a nurse must make sure they understand and practice proper precautions.

[deeDawntee, RN]

Also it useful to understand that isolation precautions are used to protect other patients more than anything else. (Unless it is something like TB). You and I are most likely exposed to MRSA and VRE all the time but because we have intact immune systems, we are able to successfully fight those bugs off. It is the transference of those bugs from the pt infected with your other patients where the potential of spreading infections exist. Also, know that MRSA does 'live' in hospitals and that is how a lot of people will develop MRSA, is from just being in the hospital. It is mostly seen as an iatrogenic infection, however I understand that more and more people are getting it in the community.

We encourage family to gown up to protect their home environments as well as not spreading it along the corridors as they go home.

But for me I always see every surface in the hospital as potentially and likely containing some MRSA...not to become paranoid, but to remember good handwashing etc.

[Race Mom, ASN, RN]

Well, put yourself in the patients position. How would you feel if the staff came into your room and "rushed" to get out? Not interacting, wearing all that gear...for days on end. People need interaction.