A nurse prepares to admit a client who has herpes zoster. Which actions should the nurse take? (Select all that apply.)
a. Prepare a room for reverse isolation.
b. Assess staff for a history of or vaccination for chickenpox.
c. Check the admission orders for analgesia. d.
Choose a roommate who also is immune suppressed.
e. Ensure that gloves are available in the room.
ANS: B, C, E
Herpes zoster (shingles) is caused by reactivation of the same virus, varicella zoster, in clients who have previously had chickenpox. Anyone who has not had the disease or has not been vaccinated for it is at high risk for getting chickenpox. Herpes zoster is very painful and requires analgesia. Use of gloves and good handwashing are sufficient to prevent spread. It is best to put this client in a private room. Herpes zoster is a disease of immune suppression, so no one who is immune-suppressed should be in the same room.
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