Infection Control

[PickledCrib]

I am not understanding the rationale fully. Why would it be A over C? (My Chicken Hez TB)

A night-shift nurse receives a call from the emergency department about a client with herpes zoster who is going to be admitted to the floor. Based on this diagnosis, where should the nurse assign the client?

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[TD]Private room

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[TD]Semi-private room with a client who had chickenpox and was admitted with a GI bleed

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[TD]Isolation room with negative airflow

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[TD]Semi-private room with a client diagnosed with pneumonia

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[TD]Explanation: Herpes zoster, a highly contagious infection, is transmitted by direct contact with vesicular fluid or airborne droplets from the infected host's respiratory tract. Placing the client with a client diagnosed with pneumonia places that client at risk for contracting herpes zoster. An isolation room with negative airflow isn't necessary for the client with herpes zoster. The nurse should assign the client to a private room. The client could safely room with the client who already had chickenpox; however, visitors might be unnecessarily exposed.[/TD]

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[OlivetheRN, ADN, BSN, RN]

Patients with herpes zoster need to be in airborne precautions only if its disseminated herpes zoster. If its localized herpes zoster, then airborne precautions aren't necessary. And if you look into what the CDC says about it, it also depends on whether the patient is immunocompromised or immunocompetent.