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Which finding on its own suggests that a patient needs Contact Precautions?
AA fever that has lasted more than two days
BExcessive wound drainage or fecal incontinence
CA cough producing thick respiratory secretions
DA recent stay in a long-term care facility
Answer & Solution
Correct answer: B. Excessive wound drainage or fecal incontinence
1. Contact Precautions also apply where excessive wound drainage, fecal incontinence or other discharges are present.
2. Those findings suggest an increased potential for extensive environmental contamination and so an increased risk of transmission.
3. The decision here rests on how much material is escaping onto the surroundings, not on which organism has been named.
4. Fever alone points to no particular route of transmission.
5. A cough with respiratory secretions points towards droplet spread instead.
6. A previous stay elsewhere may raise suspicion of resistant organisms, but on its own it is not the finding described.
_Source: CDC Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (2007), Part III, section III.B.1. Contact precautions_
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