Page 428 - Saunders Comprehensive Review For NCLEX-RN

7. Assessment: Ask the client if he or she traveled to an
area with EVD such as Guinea, Nigeria, or Sierra
Leone within the last 21 days or if he or she has had
contact with someone with EVD and had any of the
following symptoms:
a. Fever at home or a current temperature
of 38° C (100.4° F) or greater
b. Severe headache
c. Muscle pain
d. Weakness
e. Fatigue
f. Diarrhea
g. Vomiting
h. Abdominal pain
i. Unexplained bleeding or bruising
8. Interventions
a. If the assessment indicates possible
infection with EVD, the client needs to
be isolated in a private room with a
private bathroom or a covered bedside
commode with the door closed.
b. Health care workers need to wear the
proper personal protective equipment
(PPE) and follow updated procedures
designated by the Centers for Disease
Control and Prevention for donning
(putting on) and removing PPE. Refer
to the following Web site for updated
information:
http://www.cdc.gov/vhf/ebola/healthcare-
us/ppe/guidance.html
c. The number of health care workers
entering the room should be limited,
and a log of everyone who enters and
leaves the room should be kept.
d. Only necessary tests and procedures
should be performed, and aerosol-
generating procedures should be
avoided.
e. Refer to the CDC guidelines for
cleaning, disinfecting, and managing
waste
(www.cdc.gov/vhf/ebola/healthcare-
us/cleaning/hospitals.html).
f. The agency’s infection control program
should be notified, as well as state and
local public health authorities.
VII. Chemical Warfare Agents

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