A nurse is contributing to the plan of care for a group of newly admitted pediatric clients. For which of the following clients should the nurse recommend initiating contact precautions?

A. A school-age child who has Haemophilus influenzae type b disease: Haemophilus influenzae type b typically requires droplet precautions, not contact precautions, unless the infection is invasive like meningitis. B. An adolescent who has pneumonia: Pneumonia caused by most pathogens does not require contact precautions unless there are specific indications such as a highly contagious organism or a superimposed infection that mandates isolation. C. An infant who has respiratory syncytial virus (RSV): RSV is highly contagious and spreads through respiratory secretions. Contact precautions are necessary to prevent transmission, especially in healthcare settings. D. A preschooler who has tuberculosis: TB is transmitted through the air via respiratory droplets, so airborne precautions (including a negative pressure room and an N95 respirator) are necessary to prevent transmission.