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Difficulty: MediumStandard and Transmission-Based Precautions

A licensed practical nurse (LPN) is assisting with the care plan for a newly admitted client who has disseminated herpes zoster. Which of the following infection control measures should be implemented? Select all that apply.

  1. Place the client in a private negative-pressure isolation room.Answer
  2. Ensure all staff entering the room wear a fit-tested N95 respirator, gown, and gloves.Answer
  3. C
    Remove the isolation gown and gloves in the hallway immediately after closing the room door.
  4. D
    Assign the evaluation of the client's skin healing progress to unlicensed assistive personnel (UAP).
  5. Place a standard surgical mask on the client if transport to the radiology department is required.Answer
  6. F
    Remove the N95 respirator inside the client's room before stepping into the hallway.

Answer

The correct measures include placing the client in a negative-pressure isolation room, ensuring staff wear a fit-tested N95 respirator along with a gown and gloves, and placing a standard surgical mask on the client if transport is required.
Disseminated herpes zoster requires both Airborne and Contact Precautions until all lesions are dry and crusted. This mandates a negative-pressure room and the use of an N95 respirator, gown, and gloves by healthcare workers. If the client must leave the room, a standard surgical mask must be placed on them for source control.

Step-by-Step Solution

1
Identify the required precautions for disseminated herpes zoster.
Disseminated herpes zoster requires both Airborne and Contact Precautions.
The virus is transmitted via small aerosolized droplets as well as direct contact with the infectious lesions.
2
Determine the appropriate environmental and PPE requirements.
A negative-pressure room is required. Staff must wear an N95 respirator, gown, and gloves.
These measures are the standard components of Airborne and Contact Precautions to prevent inhalation and contact transmission.
3
Evaluate proper PPE donning and doffing sequences.
Gowns and gloves are removed inside the room, while the N95 respirator is removed outside the room.
Removing contact PPE inside prevents hallway contamination, and removing the respirator outside prevents inhalation of airborne particles.
4
Assess the appropriateness of care delegation.
UAP cannot evaluate the healing progress of skin lesions.
Evaluation is a core nursing responsibility that falls outside the UAP scope of practice.

Key Concept

Airborne and Contact Precautions for Disseminated Herpes Zoster
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Topics

Standard and Transmission-Based Precautions

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