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Difficulty: MediumStandard and Transmission-Based Precautions

An adult client presenting with disseminated herpes zoster requires specialized infection control measures. Which actions are appropriate for the practical nurse to implement when caring for this individual? Select all that apply.

  1. Wear a fit-tested N95 respirator, a disposable gown, and gloves when entering the room.Answer
  2. Ensure that the client is placed in a negative-pressure private room with the door kept closed.Answer
  3. Leave dedicated patient care items, such as a blood pressure cuff and stethoscope, inside the room.Answer
  4. D
    Remove the isolation gown and gloves in the hallway corridor after exiting the client's room.
  5. E
    Complete the initial comprehensive nursing assessment to document the baseline extent of the lesions.
  6. F
    Put on clean gloves before donning the isolation gown when preparing to enter the client's room.

Answer

The practical nurse should wear an N95 respirator, gown, and gloves, ensure the client is placed in a negative-pressure room with the door closed, and keep dedicated patient care equipment inside the room.
Disseminated herpes zoster is highly contagious and can be transmitted via both airborne droplet nuclei and direct contact with vesicular fluid. Therefore, the client requires a combination of airborne and contact precautions. This mandates placement in a negative-pressure isolation room to prevent the circulation of infectious air into adjacent areas. Healthcare workers must wear a fit-tested N95 respirator, an isolation gown, and gloves to prevent inhalation and physical exposure. Furthermore, keeping dedicated medical equipment inside the room minimizes the risk of cross-contamination to other clients or surfaces.

Step-by-Step Solution

1
Identify the transmission route for the specific pathogen.
Disseminated herpes zoster is transmitted via both the airborne route and direct contact.
Understanding the transmission route dictates the specific isolation precautions required.
2
Select the appropriate environmental controls and personal protective equipment (PPE).
Airborne precautions require a negative-pressure room and N95 respirator; contact precautions require a gown, gloves, and dedicated equipment.
Combining the requirements of both precaution levels ensures comprehensive infection control.
3
Apply safe practices for donning and doffing PPE.
PPE must be donned in the correct order (gown first, gloves last) and doffed inside the client room before exiting.
Incorrect sequence or location of PPE removal increases the risk of environmental cross-contamination.
4
Evaluate the nursing tasks against the practical nurse scope of practice.
Providing routine care in isolation is appropriate, but performing the initial comprehensive admission assessment must be deferred to the RN.
Nurses must only perform tasks within their legal scope of practice to ensure client safety.

Key Concept

Standard and Transmission-Based Precautions
Estimated Time:1m 30s
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Topics

Standard and Transmission-Based Precautions

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