If a disease has 2 precautions, what to pick?

Nursing Students NCLEX

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For example, Varicella and SARS is airborne and contact, so for nclex would you pick n95, private room, gown and gloves?

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Specializes in OR, Nursing Professional Development.

Well, let's think about the precautions for contact isolation. What is similar to isolation for airborne? What is required for airborne and not for contact and vice versa?

Now what do you think you'd pick?

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Nothing is similar apart from standard precautions.

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Specializes in OR, Nursing Professional Development.
Nothing is similar apart from standard precautions.

Actually, there are many similarities. What PPE is needed to care for a patient in contact isolation?

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Contact- gown and gloves

airborne- n95

droplet- mask

airborne and droplet- gloves gown googles when abticipating secretions.

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Specializes in OR, Nursing Professional Development.
Contact- gown and gloves

airborne- n95

droplet- mask

airborne and droplet- gloves gown googles when abticipating secretions.

Now what are other considerations for patients in airborne or contact isolation? What type of room can they be in? What other types of patients can they be in a semi-private room with?

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I dont mean to be rude but i know all of that, all I was asking was whether both precautions are needed for a disease that has multiple precautions.

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Specializes in OR, Nursing Professional Development.

And I'm trying to guide you to the answer without spoon-feeding it to you. So, if you know what the patient needs, do you think you need it all or not?

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Nclex will not test you like that from experience taking it. Seriously this stigma that the nclex is so hard is really terrible. Study uwolrd, kaplan and hurst, and that 35 pg study guide and I assure you that you will pass in 75qs. This test is not as bad as everyone makes it out to be. You only need to know that with dissemeninated herpes zoster you would require contact and airborne. Best of luck on your nclex journey

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Nclex will not test you like that from experience taking it. Seriously this stigma that the nclex is so hard is really terrible. Study uwolrd, kaplan and hurst, and that 35 pg study guide and I assure you that you will pass in 75qs. This test is not as bad as everyone makes it out to be. You only need to know that with dissemeninated herpes zoster you would require contact and airborne. Best of luck on your nclex journey

What 35 pg study guide?

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I have only been using uworld and 35 page study guide, you think thats sufficient?

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Specializes in Complex pedi to LTC/SA & now a manager.
What study guide?

It's no longer available on this site as its since been copyrighted and rumor has it now it's being sold. There were quite a few errors in the original document.

You go for the higher level precaution. Both are always gown glove droplet mask/N95 negative pressure room

While the vesicles can transmit the virus, varicella is airborne/droplet.

When I worked ED only those with immunity could care for the patient. But still needed gown/gloves/mask dedicated equipment, isolation room and terminal clean once room vacated.

"Management of Patients with Varicella:

-Follow standard precautions plus airborne precautions (negative air-flow rooms) and contact precautions until lesions are dry and crusted

-If negative air-flow rooms are not available, patients with varicella should be isolated in closed rooms with no contact with persons without evidence of immunity

-Patients with varicella should be cared for by staff with evidence of immunity"

(An active TB patient would be given the negative airflow room over a varicella patient for example). Source: Chickenpox | Health Care Settings | Varicella | CDC

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