A nurse is caring for a client on contact isolation. What guidelines should the nurse follow when taking the vital signs of the client in the isolation room?
A) Bring items from outside into the isolation room.
B) Wear mask, as indicated.
C) Use disposable thermometers and stethoscopes.
D) Choose oral temperature measurement over rectal.
C
Feedback:
The nurse should wear gloves and other PPE as indicated when taking the vital signs of the client on contact precautions, not a mask unless splashing or spray potential exists. The nurse should not bring items from outside into the room. The nurse should use only disposable thermometers and stethoscopes. The nurse need not choose oral temperature measurement over rectal.
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