A charge nurse is formulating an infection control plan for a severely immunocompromised client newly diagnosed with disseminated herpes zoster and a concurrent Clostridioides difficile infection. Which of the following interventions should the nurse include in the client's plan of care? (Select all that apply.)
- Assign the client to a private, airborne infection isolation room (AIIR) with negative-pressure airflow.Answer
- BInstruct staff to perform hand hygiene exclusively with an alcohol-based hand sanitizer after removing gloves.
- Use a sporicidal disinfectant, such as a sodium hypochlorite solution, to clean the client's dedicated equipment.Answer
- DRemove all personal protective equipment (PPE), including the N95 respirator, inside the client's room prior to exiting.
- Place a standard surgical mask on the client if transport to another department is medically necessary.Answer
- FAssign an unlicensed assistive personnel (UAP) with no documented varicella immunity to assist the client with bathing.
Answer
The correct interventions are assigning a negative-pressure AIIR, using sporicidal disinfectants for equipment, and placing a surgical mask on the client during transport.
Because the client has disseminated herpes zoster, Airborne Precautions are required, meaning the client needs a negative-pressure AIIR. During any necessary transport, airborne infectious clients must wear a standard surgical mask to contain respiratory secretions. The concurrent Clostridioides difficile infection requires Enteric Contact Precautions, necessitating the use of sporicidal disinfectants like bleach for equipment and surfaces.
Step-by-Step Solution
Key Concept
Concurrent implementation of Airborne, standard Contact, and Enteric Contact precautions requires synthesizing highly specific PPE, hygiene, and room assignment guidelines.