Question

Difficulty: MediumStandard and Transmission-Based Precautions

A client with disseminated herpes zoster is admitted to the medical-surgical unit. Which infection control measures should be incorporated into the care plan? Select all that apply.

  1. Place the client in a private, negative-pressure airborne infection isolation room.Answer
  2. B
    Assign an unlicensed assistive personnel to perform the initial assessment of the skin lesions.
  3. Don an N95 respirator, isolation gown, and clean gloves prior to entering the client's room.Answer
  4. D
    Doff the N95 respirator inside the client's room after removing the isolation gown and gloves.
  5. Keep reusable, noncritical medical equipment dedicated solely for this client's use inside the room.Answer

Answer

The correct actions are placing the client in a negative-pressure room, donning an N95 respirator, gown, and gloves before entry, and dedicating noncritical equipment to the client's room.
Disseminated herpes zoster requires both airborne and contact precautions because the virus can be transmitted through respiratory droplets and direct contact with lesions. Implementing a negative-pressure room, using an N95 respirator along with a gown and gloves, and dedicating equipment to the client effectively disrupts both chains of transmission.

Step-by-Step Solution

1
Identify the required transmission-based precautions for disseminated herpes zoster.
Airborne and Contact precautions are identified.
The virus can spread through respiratory aerosols and direct contact with active lesions.
2
Select interventions that comply with Airborne precautions.
A negative-pressure airborne infection isolation room is selected, and donning an N95 respirator before entry is required.
These measures prevent the inhalation and spread of suspended infectious droplets.
3
Select interventions that comply with Contact precautions.
Donning a gown and gloves before entry, and keeping dedicated noncritical equipment in the room are selected.
These measures prevent pathogen transmission via direct or indirect contact with the client or their environment.
4
Evaluate the remaining options against safety protocols and scope of practice.
Delegating the initial assessment to an unlicensed assistive personnel is rejected, and removing the N95 inside the room is rejected.
Assessments require nursing judgment, and removing respiratory protection inside an airborne isolation room breaks safety protocols.

Key Concept

Airborne and Contact Precautions
Estimated Time:1m 30s
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