Fundamentals Question #22

Question

A client with disseminated herpes zoster requires routine care. Which personal protective equipment (PPE) should the nurse apply?

Answers

  1. Surgical mask, gown and gloves
    • This answer is not correct because a surgical mask is not enough protection against disseminated herpes zoster. The PPE required is at least a N-95 mask or respirator, gown, and gloves.

  2. N95 mask, gown and gloves
    • This answer is correct because the PPE required for disseminated herpes zoster is at least a N-95 mask or respirator, gown, and gloves. This is the requirement for airborne precaution isolation. Disseminated herpes zoster is associated with decreased immunity. It can develop into encephalitis and pneumonitis, which is a life-threatening situation.

  3. N95 mask, goggles, and gloves
    • This answer is not correct because goggles are only needed if body fluid exposure is suspected. A gown is required PPE for airborne isolation. Due to the risk of exposure to the garments by an airborne infection, gowns must be used to prevent transmission.

  4. Surgical mask, face shield, gown, gloves
    • This answer is not correct because a surgical mask is not enough protection against disseminated herpes zoster. The PPE required is at least a N-95 mask or respirator, gown, and gloves. A face shield or goggles may be used, especially if exposure to body fluids is suspected.

Overview

The PPE the nurse should apply when performing routine care of a client with disseminated herpes zoster should apply a N-95 mask, gown, and gloves since the client is in airborne isolation precautions.

Learning Outcomes

Disseminated herpes zoster is shingles that appears in a larger area than herpes zoster. Specifically, disseminated herpes zoster has a vesicle eruption of almost a dozen vesicles that occur before the onset of the classic herpes zoster (shingles). It is difficult to distinguish between it’s vesicles compared to varicella (chickenpox). Dissemination is associated with decreased immunity. It can develop into encephalitis and pneumonitis, which is a life-threatening situation. A client with disseminated herpes zoster should be placed in airborne isolation. The PPE required is at least a N-95 mask or respirator, gown, and gloves.

Test Taking Tip

Surgical masks are never an appropriate replacement of a N-95 mask or respirator for PPE for an airborne precaution isolation. Face shields or goggles are not required but may be used, especially if exposure to body fluids is suspected.