Editing Infection Control and Safety – RN Practice Questions (section)

==Question 7==
'''Select all that apply.''' A client with disseminated herpes zoster is admitted. Which nursing actions are appropriate?
# Place the client in a negative-pressure airborne infection isolation room with the door closed.
# Wear a fit-tested N95 respirator when entering the room.
# Wear a gown and gloves for client contact.
# Assign only staff who have documented immunity to varicella whenever possible.
# Apply a surgical mask to the client and cover the lesions during transport to radiology.
# Use a surgical mask rather than a respirator, because zoster is transmitted only by droplet.

'''Answer:''' 1, 2, 3, 4, and 5.

''Rationale:'' Disseminated zoster requires airborne '''and''' contact precautions, so both an AIIR with a respirator and gown and gloves are needed. Assigning immune staff reduces risk. During transport the client wears a surgical mask and lesions are covered. Option 6 is incorrect; only localized zoster in an immunocompetent client with lesions that can be covered is managed with standard precautions.