The nurse is working on an infectious disease unit. Which client should be assigned to a room with negative airflow, while requiring personnel to use a particulate respirator mask, and requiring staff to observe airborne, as well as standard precautions?

A. A client with a positive Mantoux and sputum cultures results positive for acid-fast bacillus (AFB): AFB-positive tuberculosis requires airborne precautions, a negative airflow room, and use of a particulate respirator mask (N95 or equivalent) to prevent transmission. B. Twin siblings admitted with scarlet fever that is complicated with pneumonia: Scarlet fever and pneumonia are managed with droplet precautions, not airborne precautions, and do not require a negative airflow room. C. A female adolescent admitted with multiple genital Herpes simplex II lesions: Herpes simplex virus requires standard precautions and sometimes contact precautions, but not airborne isolation or a negative airflow room. D. An older client with scabies who is admitted from an extended care facility: Scabies requires contact precautions, including gowns and gloves, but airborne precautions and negative pressure rooms are not needed unless crusted (Norwegian) scabies is suspected.