The nurse is preparing to obtain a rapid coronavirus (COVID-19) test for a client who was exposed to the virus eight days ago. The client is experiencing fever, cough, and shortness of breath. Which action is most important for the nurse to take?
Explanation & Rationale
A. Don an N95 respirator mask, face shield, gown, gloves, and shoe coverings prior to returning to the room: This is the most important immediate action to protect the nurse and prevent further transmission. COVID-19 is highly contagious, especially with symptoms present, so full PPE must be worn when entering the room for testing or care. B. Teach the client to wear a mask, hand wash, and social distance to prevent spreading the virus: Education is important for long-term infection control, but the immediate priority is the nurse's own protection before interacting with the client. C. Explain to the client to inform others that they may have been potentially exposed in the last 14 days: This is part of contact tracing and public health responsibility but should come after the client is tested and isolated appropriately. D. Notify the charge nurse the client will need assignment to the COVID-19 specified area of the facility: While important for facility infection control, this step follows the nurse’s initial action of donning PPE and safely assessing and testing the client.