A nurse is planning care for an immunocompromised adult client who has just been admitted with disseminated herpes zoster. Which of the following actions should the nurse include in the plan of care? Select all that apply.
- Assign the client to a private, negative-pressure airflow room.Answer
- Ensure the client wears a standard surgical mask during any essential transport outside the room.Answer
- CInstruct unlicensed assistive personnel (UAP) to remove the N95 respirator inside the client's room prior to exiting.
- DDelegate the initial education of family members on proper personal protective equipment (PPE) use to the unlicensed assistive personnel (UAP).
- Don a disposable gown, clean gloves, and an N95 respirator prior to entering the client's room.Answer
- FKeep the client's room door partially open to allow for continuous visual monitoring of the client's respiratory status.
Answer
The correct actions include assigning the client to a negative-pressure room, ensuring the client wears a surgical mask during transport, and donning a gown, gloves, and an N95 respirator prior to entering the room.
Clients with disseminated herpes zoster require combined Airborne and Contact Precautions. This necessitates a negative-pressure room, the use of an N95 respirator, gown, and gloves by healthcare workers, and ensuring the client wears a standard surgical mask to contain secretions if transport is absolutely necessary.
Step-by-Step Solution
Key Concept
Airborne and Contact Precautions for Disseminated Herpes Zoster