Which action is not indicated for a client with chronic hypercortisolism?

Which action is not indicated for a client with chronic hypercortisolism?

• A. Wash hands when entering the room.
• B. Keep the client in airborne isolation.
• C. Observe the client for signs of infection.
• D. Assess the client's daily chest x-ray.

Answer: (B)

Chronic hypercortisolism weakens the immune system, so infection prevention and early detection are key. Airborne isolation is reserved for diseases that spread through airborne particles, such as tuberculosis or certain viral infections. Simply having high cortisol levels does not mean the patient should be placed under airborne precautions. So keeping the client in airborne isolation is not indicated unless there’s a specific airborne infectious diagnosis. Hand hygiene when entering the room is essential standard prevention. Watching for signs of infection (fever, increased WBC, wound drainage, respiratory symptoms) is important because infections can escalate quickly in an immunosuppressed patient. A daily chest X-ray is not a routine measure for monitoring someone with chronic hypercortisolism unless new respiratory symptoms or another clinical indication arises.

Chronic hypercortisolism weakens the immune system, so infection prevention and early detection are key. Airborne isolation is reserved for diseases that spread through airborne particles, such as tuberculosis or certain viral infections. Simply having high cortisol levels does not mean the patient should be placed under airborne precautions. So keeping the client in airborne isolation is not indicated unless there’s a specific airborne infectious diagnosis.

Hand hygiene when entering the room is essential standard prevention. Watching for signs of infection (fever, increased WBC, wound drainage, respiratory symptoms) is important because infections can escalate quickly in an immunosuppressed patient. A daily chest X-ray is not a routine measure for monitoring someone with chronic hypercortisolism unless new respiratory symptoms or another clinical indication arises.