Medical Surgical Airborne vs Droplet precautions #5

Question

The ER triage nurse is admitting a client with complications from adenovirus. Which client would be the most appropriate as a cohort client?

Answers

  1. A client with a diagnosis of viral meningitis.
    • Rationale:

      This answer is correct since viral meningitis is transmitted through respiratory droplets. Symptoms include fatigue, muscle aches, cough, and stiff neck. There is no medication available for viral meningitis, and the client usually gets better within a few weeks.

  2. A client with possible bacterial meningitis.
    • Rationale:

      This answer is not correct because the bacterial meningitis client will be placed in airborne isolation. Once the client has completed 24-hours of antibiotic therapy, the client may be placed on droplet precautions and come out of isolation.

  3. A client undergoing testing for measles.
    • Rationale:

      This answer is not correct because this client has a potential diagnosis for measles. Measles is an airborne transmission, and therefore should not share a room with a client under droplet precautions.

  4. A client diagnosed with chickenpox.
    • Rationale:

      This answer is not correct because chickenpox (varicella) is considered an airborne precaution. This client will be in airborne isolation and unable to share a room with another client.

Overview

Adenovirus is a group of viruses that cause infection of the lining of the eyes, airways, intestines, urinary tract, or nervous system. Droplet precautions should be implemented with the client diagnosed with adenovirus. A cohort client is when two clients can be observed together in the same room.

Explanation

Learning Outcomes

A cohort client situation is when two clients can be observed together in the same room. These clients will need to be under the same type precautions. Adenovirus is a group of viruses that cause infection of the lining of the eyes, airways, intestines, urinary tract, or nervous system. Droplet precautions would need to be implemented with the client diagnosed with adenovirus. The client with viral meningitis will also be placed under droplet precautions. These two clients are a better match as cohorts. Bacterial meningitis, measles, and chickenpox all required isolation and should not share a room with other clients.

Test Taking Tip

Remember that there are two types of meningitis. One is airborne and the other droplet. Bacterial meningitis will be airborne precautions until the client has completed 24-hours of antibiotics.

Video Rationale