A practical nurse is assigned to care for a pediatric client admitted with suspected measles (rubeola). Which of the following infection control interventions should the nurse implement? Select all that apply.
- Keep the door to the client's room tightly closed at all times.Answer
- BRemove the N95 respirator inside the client's room after completing care.
- Instruct the client to wear a standard surgical mask during transport for a chest x-ray.Answer
- DDirect the unlicensed assistive personnel (UAP) to perform the client's admission respiratory assessment.
- Apply a fit-tested particulate respirator just before entering the client's room.Answer
- FStore the client's dedicated reusable blood pressure cuff on an isolation cart in the hallway.
Answer
The correct interventions include keeping the room door tightly closed, having the client wear a surgical mask during transport, and applying a fit-tested particulate respirator before entering the room.
Because measles is transmitted via small airborne particles, the client must be on Airborne Precautions. This requires keeping the door closed to maintain negative pressure within the room, donning an N95 respirator before entering to filter out the virus, and placing a standard surgical mask on the client during transport to trap infectious particles at the source.
Step-by-Step Solution
Key Concept
Airborne Precautions require placing the client in a negative-pressure room with the door closed, staff donning an N95 respirator prior to entry (and doffing after exit), and placing a surgical mask on the client for source control during necessary transport.