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 preschooler who has tuberculosis: Tuberculosis requires airborne precautions, not contact. It spreads via droplet nuclei that remain suspended in the air, so the child should be placed in a negative pressure room. B. A school-age child who has Haemophilus influenzae type B disease: This condition requires droplet precautions due to its mode of transmission through large respiratory droplets, not contact precautions. C. An adolescent who has pneumonia: Pneumonia typically requires standard precautions unless caused by a pathogen warranting droplet or contact precautions. Routine pneumonia cases do not need contact precautions. D. An infant who has respiratory syncytial virus: RSV spreads through direct contact with respiratory secretions and contaminated surfaces, so contact precautions are necessary. Droplet precautions are also indicated, but contact precautions are the priority for RSV.