Match each client's clinical presentation to the specific infection control intervention required for their care.
- A client with profuse, watery diarrhea testing positive for Clostridioides difficile.Perform hand hygiene exclusively with soap and water upon exiting the room.
- An immunocompromised client presenting with disseminated herpes zoster.Assign to a negative-pressure room and don a fit-tested particulate respirator.
- A client admitted with paroxysmal coughing and suspected Bordetella pertussis.Wear a standard surgical mask when providing care within three feet.
- A client with a heavily draining abdominal wound colonized with vancomycin-resistant enterococci (VRE).Don a gown and gloves before entry; alcohol-based hand sanitizer is acceptable.
Answer
Clostridioides difficile matches with soap and water hand hygiene; disseminated herpes zoster matches with a negative-pressure room and respirator; Bordetella pertussis matches with wearing a surgical mask within three feet; and VRE matches with gown/gloves where alcohol-based sanitizer remains acceptable.
Each pathogen must be paired with its precise infection control requirement: C. difficile requires mechanical spore removal (soap and water), disseminated zoster requires airborne containment (negative pressure and respirator), pertussis requires droplet barriers (surgical mask), and VRE requires contact barriers (gown and gloves) with standard hand hygiene.
Step-by-Step Solution
Key Concept
Appropriate selection of isolation precautions based on pathogen transmission routes.