Certified Wound Care Associate (CWCA) Practice Exam

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When caring for a patient with osteomyelitis who has developed a fistula infected with Staphylococcus aureus, which infection control precautions should be used?
Correct Answer:
Standard and contact precautions
Explanation:
When caring for a patient with osteomyelitis who has developed a fistula infected with Staphylococcus aureus, it is essential to implement both standard and contact precautions. Standard precautions are the basic infection control measures that should be taken with all patients, regardless of their diagnosis, and include practices like hand hygiene, use of personal protective equipment (PPE) such as gloves and gowns, and safe handling of sharps. These practices help prevent the transmission of infections that are common in healthcare settings. In addition to standard precautions, contact precautions are necessary when dealing with infections caused by organisms like Staphylococcus aureus, particularly if it is a strain that can easily spread through direct or indirect contact. These precautions involve wearing gloves and gowns to prevent exposure to the patient’s bodily fluids and any infected materials, such as wound drainage. This combination is crucial to protect both healthcare workers and other patients from potential infection. Other precautions such as droplet and airborne are not warranted in this situation, as they are more specific to respiratory infections or diseases that are spread through the air. Thus, the combination of standard and contact precautions is the appropriate approach for managing a patient with this condition.

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