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Under the Spaulding classification, an item contacting intact mucous membranes is

  • A.noncritical, requiring only a low-level disinfectant
  • B.unclassified, requiring only detergent and water
  • C.semicritical, requiring at least high-level disinfection
  • D.critical, requiring sterilization without exception

Answer: C

Mucous membranes resist ordinary bacterial spores but are readily infected by other organisms, so high-level disinfection is accepted for items such as endoscopes and respiratory equipment. Sterilization is reserved for items that penetrate tissue.

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