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Difficulty: EasyStandard and Transmission-Based Precautions

A practical nurse (PN) is reviewing room assignments on a medical unit. A semi-private room is currently occupied by a client who has a confirmed respiratory syncytial virus (RSV) infection. Which of the following clients is most appropriate to place in the remaining bed of this room?

  1. A client who also has a confirmed laboratory diagnosis of RSV.Answer
  2. B
    A client who has a suspected, but unconfirmed, RSV infection based on symptoms.
  3. C
    A client who is currently receiving droplet precautions for a confirmed influenza A infection.
  4. D
    A client who is immunocompromised and admitted for a non-infectious respiratory condition.

Answer

The client who also has a confirmed laboratory diagnosis of RSV.
According to fundamental infection control guidelines, cohorting is safely achieved by placing clients with the same confirmed active infection in the same room. A client with a confirmed RSV infection can safely share a room with another client who has a confirmed RSV infection, as there is no risk of cross-transmitting a different organism between them.

Step-by-Step Solution

1
Identify the existing client's infection status.
The current occupant has a confirmed RSV infection, which requires specialized transmission-based precautions.
Understanding the existing pathogen is necessary to determine safe cohorting compatibility.
2
Apply the principles of safe client cohorting.
Safe cohorting dictates that only clients with the exact same confirmed infectious organism can share a room.
This prevents cross-contamination and protects uninfected or vulnerable clients from acquiring a new healthcare-associated infection.

Key Concept

Cohorting Clients with Infectious Diseases
Estimated Time:45s
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Topics

Standard and Transmission-Based Precautions

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