Medical Surgical Airborne vs Droplet precautions #2

Question

A nurse is preparing to enter a room of a client diagnosed with disseminated herpes zoster. Which PPE must the nurse don before providing direct care to the client? Select all that apply.

Answers

  1. Procedure mask
    • Rationale:

      This answer is not correct because a procedure mask is not capable of blocking the small infectious particles associated with disseminated varicella zoster. Disseminated varicella zoster necessitates airborne precautions and an N95 mask would be required.

  2. N95 respirator
    • Rationale:

      This answer is correct because an N95 must be worn by anyone entering a client’s room on airborne precautions. Respirators are specifically designed to provide respiratory protection by filtering out airborne particles. The N95 respirator filters out 95% of small particles.

  3. Gown
    • Rationale:

      This answer is correct because a gown is considered barrier protection. It helps prevent transmission of infectious agents that are very small and remain viable onto the nurse’s clothing. Studies show that bacteria and viruses can survive for extended periods of time on certain types of textile materials.

  4. Eye protection
    • Rationale:

      This answer is not correct because eye protection is utilized under droplet precautions only or if splash or spray with bodily fluids is anticipated. Disseminated varicella zoster is transmitted through the air, and through contact not through respiratory droplets.

  5. Gloves
    • Rationale:

      This answer is correct because gloves should be worn when contact transmission is possible. Disseminated varicella zoster is transmitted through the air and through contact, so gloves are indicated. Promote glove use when blood, body fluids, secretions, extretions, non-intact skin, mucous membranes, or contaminated items will be touched.

Overview

A client with disseminated herpes zoster is placed on airborne precautions. Necessary PPE includes a gown, mask and gloves donning in that specific order. The client will require an airborne isolation room equipped with negative pressure handling and a ventilation system.

Explanation

Learning Outcomes

The client diagnosed with disseminated herpes zoster will be placed on airborne precautions. The client will require an airborne isolation room equipped with negative pressure handling and a ventilation system. PPE required will be a gown, respirator mask, and gloves. Donning the required PPE in that specific order is essential to reduce contamination. A regular procedure mask does not block small infectious particles. Respirators block very small particles by 95% and are most effective at providing respiratory protection. Airborne precautions require barrier protection, and a gown supplies that protection by protecting the nurse’s clothing. Eye protection is indicated under droplet precautions and when there is a risk of splash or spray with bodily fluids. Gloves are worn during contact precautions to protect the nurse’s skin from infectious processes.

Test Taking Tip

Recognize when donning of PPE is required and have knowledge of which diseases require which type of precautions.

Video Rationale