A client with influenza needs assistance to transfer to the bedside commode. The UAP dons gloves and a gown to assist. What action should the nurse take next to ensure proper infection control?

• A. Instruct the UAP to remove gloves before assisting the client.
• B. Review the need for the UAP to wear a face mask while in close contact with the client.
• C. Require the UAP to stay farther than six feet from the client.
• D. Place the client in airborne isolation.

Answer: (B)

Influenza spreads mainly through respiratory droplets released during coughing, sneezing, or talking, so protecting the caregiver during close contact is essential. Even though the UAP has gloves and a gown, a mask is needed to block those droplets from reaching the nurse’s or other staff’s nose and mouth during the transfer. That’s the next practical step to improve infection control in this situation.

Removing gloves before assisting would increase exposure risk, and staying farther than six feet isn’t always feasible for a transfer task. Placing the patient in airborne isolation isn’t warranted for influenza, which is transmitted primarily by droplets rather than airborne routes. Ensuring the UAP wears a mask during close contact best prevents droplet exposure.