An occupational health nurse is instructing clinic staff on proper isolation procedures for a client who has been diagnosed with rubella. Which transmission-based precaution interventions should the staff implement? Select all that apply.
- Place the client in a standard private room.Answer
- BEnsure the room maintains negative air pressure with the door closed.
- Wear a standard surgical mask upon entering the client's room.Answer
- DDon a fit-tested N95 respirator before entering the client's room.
- Apply a standard surgical mask to the client when transfer outside the room is necessary.Answer
- FWash hands exclusively with soap and water after removing personal protective equipment.
Answer
The correct interventions are placing the client in a standard private room, wearing a standard surgical mask upon entry, and applying a surgical mask to the client during transport.
Rubella (German measles) is transmitted via large respiratory droplets, requiring droplet precautions. Appropriate interventions include placing the client in a standard private room, wearing a surgical mask upon entry, and applying a surgical mask to the client if they must leave the room. Standard precautions, including routine hand hygiene with either alcohol-based hand rub or soap and water, also apply.
Step-by-Step Solution
Key Concept
Rubella requires droplet precautions, which involve source control (patient masking during transport), spatial separation (private room), and staff PPE (surgical mask).