During the admission of a client with newly diagnosed disseminated herpes zoster, the nursing team must establish appropriate isolation precautions. Which specific actions should be included in this client's care plan? (Select all that apply.)
- Initiate placement in a private room with negative-pressure airflow.Answer
- Don a fit-tested N95 respirator, isolation gown, and clean gloves before room entry.Answer
- CRemove the N95 respirator inside the client's room prior to exiting into the hallway.
- Place a standard surgical mask on the client if transport to another department is essential.Answer
- EUtilize a standard surgical mask instead of an N95 if remaining more than 3 feet away from the client.
- Dedicate reusable medical equipment, such as a stethoscope, to remain inside the client's room.Answer
Answer
The correct interventions for a client with disseminated herpes zoster include initiating placement in a negative-pressure room, donning an N95 respirator, gown, and gloves before entry, placing a standard surgical mask on the client during transport, and dedicating reusable equipment to the room.
Disseminated herpes zoster necessitates both Airborne and Contact precautions. This requires a negative-pressure private room to contain airborne particles. Staff must wear a fit-tested N95 respirator, an isolation gown, and gloves for all interactions. To prevent cross-contamination, reusable room equipment should be dedicated to the client. If transport outside the room is essential, placing a standard surgical mask on the client provides necessary source control.
Step-by-Step Solution
Key Concept
Airborne and Contact Precautions for Disseminated Herpes Zoster