The nurse is planning care for a client diagnosed with acquired immunodeficiency syndrome (AIDS) who presents with a newly erupted, weeping, localized herpes zoster (shingles) rash on the right thorax. Which infection control and safety measures should the nurse implement? Select all that apply.
- Assign the client to an airborne infection isolation room (AIIR) with negative air pressure.Answer
- Don a fit-tested N95 respirator, gown, and gloves prior to entering the client's room.Answer
- Place a standard surgical mask on the client if transport out of the room is necessary.Answer
- DKeep the client's door slightly ajar to facilitate frequent visual monitoring of their respiratory status.
- EDelegate the application of the prescribed topical acyclovir ointment to the unlicensed assistive personnel (UAP).
- FRemove the N95 respirator immediately after completing client care, prior to exiting the room.
Answer
The nurse should assign the client to a negative-pressure room, don an N95 respirator along with a gown and gloves, and place a standard surgical mask on the client during any required transport.
Localized herpes zoster in a severely immunocompromised client (such as one with AIDS) requires both airborne and contact precautions. The immunocompromised state increases the risk of disseminated infection and widespread viral shedding. Therefore, the client must be placed in a negative-pressure airborne infection isolation room (AIIR). Healthcare workers must wear an N95 respirator, gown, and gloves to prevent inhalation and contact transmission. If the client must be transported outside the room, they should wear a standard surgical mask to contain respiratory secretions.
Step-by-Step Solution
Key Concept
Airborne and Contact Precautions for Immunocompromised Clients
Estimated Time:1m 30s