What personal protective equipment is necessary when caring for a client diagnosed with disseminated herpes zoster?

When caring for a client diagnosed with disseminated herpes zoster, the use of an N95 respirator is essential due to the risk of airborne transmission associated with the herpes zoster virus, particularly when the virus is disseminated. Disseminated herpes zoster, or shingles, occurs when the virus affects multiple areas of the body, increasing the potential for respiratory droplets to carry the virus into the air where it can be inhaled by those nearby.

The N95 respirator is designed to filter out at least 95% of airborne particles, ensuring that healthcare providers are protected from inhaling infectious agents that could cause serious illness. This is particularly important in a healthcare setting where the concentration of pathogens can be higher and where vulnerable patients may be present.

While gloves are necessary for contact with fluid and potentially contaminated surfaces, and a gown may be appropriate depending on the clinical situation, it is primarily the N95 respirator that addresses the airborne concern directly related to disseminated herpes zoster. Basic eye protection, such as goggles, is not typically required unless there is a risk of splashes or sprays directly contacting the eyes.

In summary, using an N95 respirator is the most crucial aspect of infection control for this situation, highlighting the importance of protecting