NCLEX/Isolation Precautions???

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I'm testing in a few days and I'm really nervous:cry: and this is really stressing me out...HELP PLEASE!!!!!!!!:(:( I'm really confused about the PPE that goes for each category. OK so I memorized the infection control section from the packet that's circulating on the site... the one with my chicken has tb, spiderman...etc.

My first question is, under the PPE for Airborne they have listed: Private room- with negative pressure with 6-12 air exchanges/hr, mask and N95 for TB.

So... I was doing question #5 in the prioritization, delegation and assignment book---->

A client has been diagnosed with disseminated herpes zoster. Which PPE will you need to put on when preparing to assess the client? SATA...

1.Surgical face mask

2.N95 respirator

3.Gown

4.Gloves

5.Goggles

6.Shoes covers

I picked as listed in the package 1,3,4.

Correct answer 2,3,4. Rational: Because herpes zoster is spread through airborne means and by direct contact with the lesions you should wear an N95 respirator or high-efficiency particulate air filer respirator, a gown, and gloves. Surgical face mask filter only large particles and will not proved protection from herpes zoster.

DOES THIS MEAN I PICK N95 MASK FOR ALL AIRBORNE????? IM SO CONFUSED???

Second Question in the package under droplets it has listed for the PPE: Gloves, mask and eye protection...

WHEN DO I KNOW WHICH EYE PROTECTION TO PICK ...FROM FACE SHIELD AND GOGGLES OR SHOULD I PICK BOTH?????? AND SHOULDN'T SHOE COVERS BE LISTED?

Sorry for the extra long forum but I'm extra confused!!!! Thanks guys! :unsure:

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yes, N95 mask for all airbourne precautions. for your second question regarding eye protectios, the answer would usually ask either or, never both...well let me take that back, i have yet to see both

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airborne - need respiratory protection, hence the N95 respirator; the particles are small and therefore need a respirator

think of the disseminated herpes zoster example as airborne and contact so you need gloves, gown, and N95

droplet - need to protect the nasal mucosa, conjunctiva, and mouth; the particles are large enough to not require a respirator and therefore just a surgical mask is suffice

why do you need shoe covers? i think shoe covers are used to protect sterile environments such as the OR so that you don't bring microorganisms in.

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Thank you guys very much for the clarification!!! I'll keep you guys posted!!!!!! Got a few more days! :):unsure:!!!

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Just took nclex stopped at 85 took me 2 hours! Got the good pop up so I'm hoping for the best! I'll know first thing tomorrow!!!

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Its Official! Mercedes,RN thanks everyone!

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airborne - need respiratory protection, hence the N95 respirator; the particles are small and therefore need a respirator

think of the disseminated herpes zoster example as airborne and contact so you need gloves, gown, and N95

droplet - need to protect the nasal mucosa, conjunctiva, and mouth; the particles are large enough to not require a respirator and therefore just a surgical mask is suffice

why do you need shoe covers? i think shoe covers are used to protect sterile environments such as the OR so that you don't bring microorganisms in.

So for droplet how do you know when you need googles or not?

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