NCLEX-PN NextGen Infection Control Precautions, Delegation & Disaster Triage (Topnotcher Rapid Cram Study System)

Transmission-Based Precautions & Delegation Rules: TRANSMISSION PRECAUTIONS: • AIRBORNE (My Chicken Hez TB): Measles, Chickenpox (Varicella), Herpes Zoster (Shingles disseminated), TB. Need: N95 respirator, Negative pressure room. • DROPLET (SPIDERMAN): Sepsis/Scarlet fever, Pneumonia/Pertussis, Influenza, Diphtheria, Epiglottitis, Rubella, Mumps, Adenovirus. Need: Surgical mask within 3 feet. • CONTACT (MRS. WEE): MRSA, Respiratory infections, Skin infections, Wound infections, Enteric (C. diff - Wash with Soap and Water!), Eye infections. DELEGATION: Never delegate what you can E.A.T. (Evaluate, Assess, Teach) to an LPN or UAP! ---------------------------------------- PRACTICE BOARD QUESTION & RATIONALE: Q: Which client assignment is most appropriate to delegate to an experienced Licensed Practical/Vocational Nurse (LPN/LVN)? A. A newly admitted post-CABG client requiring initial assessment B. A diabetic client requiring discharge education on insulin pen self-injection C. A stable post-operative day 2 client requiring a sterile wound dressing change and oral antibiotics D. A trauma client manifesting sudden chest pain and shortness of breath Correct Answer: C. LPNs can care for stable clients with predictable outcomes, administer oral/subQ medications, and perform sterile dressing changes. Assessments (A), discharge teaching (B), and unstable emergencies (D) must be handled by the RN.