The nurse in the emergency department is caring for a 76-year-old female client.
1300:Arrived with her daughter. Painful blistering rash began on the left side of the chest 5 days ago and has spread to the back, abdomen and both thighs. Several blisters are open and weeping clear fluid. Primary health care provider (PHCP) diagnoses disseminated herpes zoster (shingles) and requests an inpatient bed. A chest x-ray in the radiology department is ordered.
For each potential nursing action, click to specify whether the action is indicated or not indicated for the care of the client.
| Potential Nursing Actions | Indicated | Not Indicated |
|---|---|---|
| Keep the door to the room closed. | ||
| Request a positive-pressure private room. | ||
| Put on a gown and gloves before entering the room. | ||
| Put on a fit-tested N95 respirator before entering the room. | ||
| Use standard precautions alone once the blisters are covered. | ||
| Place a surgical mask on the client for transport to radiology. |
Note: Each row must have 1 response option selected.