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Infectious Diseases
문제

A nurse is caring for multiple patients with different infectious diseases. Which patient requires airborne precautions in addition to standard precautions?

해설
Pulmonary tuberculosis requires airborne precautions because Mycobacterium tuberculosis is transmitted through airborne droplet nuclei. Other options require contact or droplet precautions.
같은 주제 다음 문제A nurse is working in an emergency department. Which patient requires airborne precautions…

심화 해설

Understanding Transmission-Based Precautions

The foundation of infection control in any healthcare setting begins with standard precautions, which are applied to the care of all patients regardless of their diagnosis. However, when a patient is known or suspected to be infected with certain pathogens, additional measures called transmission-based precautions are required to interrupt the specific route of transmission. According to the AORN guideline, these precautions are categorized into contact, droplet, and airborne, and they are always used in addition to standard precautions [1].

The key to selecting the correct precaution type lies in understanding the physical properties of the infectious particle, specifically its size and behavior in the air. This determines how far it can travel and how long it can remain suspended, which directly informs the necessary personal protective equipment (PPE) and patient placement.

Analysis of Each Option

1. A patient with methicillin-resistant Staphylococcus aureus (MRSA) wound infection
MRSA is primarily transmitted via direct or indirect contact with the infected wound or contaminated items. The infectious particles are large droplets or reside on skin and surfaces, not traveling long distances through the air. Therefore, this patient requires contact precautions in addition to standard precautions. This involves wearing a gown and gloves for any interaction that may involve contact with the patient or their environment [1].

2. A patient with Clostridium difficile-associated diarrhea
Clostridium difficile is a spore-forming bacterium transmitted via the fecal-oral route through contact with contaminated surfaces. The spores are hardy and not suspended in the air for extended periods. This patient requires contact precautions, with a critical emphasis on hand hygiene with soap and water, as alcohol-based hand rubs are not effective against C. difficile spores [1].

3. A patient with influenza A
Influenza viruses are transmitted through large respiratory droplets that are generated when an infected person coughs, sneezes, or talks. These droplets are relatively heavy and typically travel only a short distance (about 3 to 6 feet) before falling to the ground. They do not remain suspended in the air for long periods. Consequently, a patient with influenza A requires droplet precautions. A surgical mask is the appropriate respiratory protection for the nurse [1].

4. A patient with pulmonary tuberculosis (Correct Answer)
Mycobacterium tuberculosis is carried in tiny airborne particles called droplet nuclei, which are less than 5 microns in size. These are generated during coughing, sneezing, or certain aerosol-generating procedures. Unlike large droplets, droplet nuclei can remain suspended in the air for hours and can travel through ventilation systems over long distances. Because of this ability to be widely dispersed via air currents, a patient with suspected or confirmed pulmonary tuberculosis requires airborne precautions in addition to standard precautions. The guideline specifies that this includes placing the patient in a negative-pressure airborne infection isolation room (AIIR) and the use of a fit-tested N95 respirator or higher-level respirator by all healthcare personnel entering the room [1]. The risk assessment for infective airborne particles is a critical component of the updated perioperative guidelines, highlighting the need to identify procedures that may generate such particles and to implement appropriate controls [1].
References (research sources)
  • [1]
    Guidelines in Practice: Transmission-Based Precautions.GuidelineMarr J. (2025) · DOI: 10.1002/aorn.14411

임상 시나리오

Airborne vs. Droplet PrecautionsKey clinical differentiator for NCLEX and practice

The critical distinction is the pathogen's particle size and behavior in air. Airborne pathogens (e.g., TB, measles, varicella) are carried by droplet nuclei (≤5 microns) that remain suspended for hours and travel long distances.

Droplet pathogens (e.g., influenza, pertussis) travel on large respiratory droplets (> 5 microns) that fall to the ground within 3 feet. A standard surgical mask is sufficient for droplet precautions.

Caution

For airborne precautions, an AIIR (negative pressure room) and a fit-tested N95 respirator are mandatory. A surgical mask is not a substitute for an N95 respirator when airborne precautions are required.

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