أي من هؤلاء المرضى يحتاج احتياطات رذاذية (Droplet)؟

Which client requires droplet precautions?

1. A child with measles who has a rash, fever and cough
2. A client with disseminated herpes zoster involving several dermatomes
3. A client with an MRSA-infected wound that needs daily dressing changes
4. A child with suspected bacterial meningitis who has had under 24 hours of antibiotics

Answer: D) A child with suspected bacterial meningitis who has had under 24 hours of antibiotics. Meningococcal meningitis spreads by droplets, and droplet precautions continue for the first 24 hours of effective therapy. Disseminated zoster and measles need airborne isolation, and MRSA needs contact precautions.