The hospital bed placement coordinator is assigning rooms for four clients awaiting admission from the emergency department. The facility currently has only one available airborne infection isolation room (AIIR). Based on standard and transmission-based precaution guidelines, which client must be prioritized for assignment to this specific room?
- AA client presenting with a low-grade fever, malaise, and a discrete pink maculopapular rash who has been diagnosed with rubella.
- BA client with a severe cough, fever, and a widened mediastinum on chest radiography who is being treated for suspected inhalation anthrax.
- A client receiving immunosuppressive therapy for a renal transplant who presents with a painful, fluid-filled vesicular rash confined to the right lumbar dermatome.Cevap
- DA client with a history of night sweats who has a positive interferon-gamma release assay (IGRA) but has just returned their third consecutive negative acid-fast bacilli (AFB) sputum smear.
Cevap
The client receiving immunosuppressive therapy who presents with a localized vesicular rash.
According to the Centers for Disease Control and Prevention (CDC), clients who are immunocompromised and develop localized herpes zoster (shingles) must be placed on both Airborne and Contact Precautions. Because their immune system cannot effectively contain the varicella-zoster virus, they are at a high risk for viral dissemination, which can aerosolize and spread via the airborne route. Therefore, this client requires placement in a negative-pressure Airborne Infection Isolation Room (AIIR) until a disseminated infection is definitively ruled out or all lesions have completely crusted over.
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Anahtar Kavram
Immunocompromised clients with localized herpes zoster must be placed on both Airborne and Contact Precautions due to the high risk of viral dissemination.