A registered nurse is preparing to admit a client diagnosed with disseminated herpes zoster. Which of the following transmission-based precaution interventions should the nurse implement? Select all that apply.
- Assign the client to a private room with negative pressure airflow.Answer
- Put on a fit-tested N95 respirator prior to entering the client's room.Answer
- CDon a disposable gown and clean gloves only when anticipating direct contact with the client's lesions.
- DKeep the door to the client's room slightly open to allow for frequent observation.
- Place a standard surgical mask on the client if transport to another department is required.Answer
- FDelegate room stocking to an unlicensed assistive personnel (UAP) who lacks documented immunity to varicella.
Answer
The correct interventions are assigning the client to a private room with negative pressure airflow, putting on a fit-tested N95 respirator prior to entering, and placing a standard surgical mask on the client during transport.
Disseminated herpes zoster requires both Airborne and Contact precautions because the virus can be transmitted through respiratory aerosols and direct contact with blister fluid. An airborne infection isolation room (AIIR) with negative pressure airflow and a fit-tested N95 respirator are mandatory airborne precautions. Placing a standard surgical mask on the client during necessary transport provides essential source control to prevent transmission outside the isolation room.
Step-by-Step Solution
Key Concept
Standard and Transmission-Based Precautions for Disseminated Herpes Zoster