Infection Control · single question

A child who recently returned from international travel presents with cough and malaise, accompanied by his father. What is the most appropriate immediate action?

  1. Proceed with treatment using standard precautions only
  2. Mask the child only and continue with the appointment as scheduled
  3. Provide masks to both and place them in a separate area away from other patients
  4. Send them home without documentation and take no further action
Show answer and explanation

Correct answer: C. Provide masks to both and place them in a separate area away from other patients

  • A. Standard precautions alone are insufficient when a respiratory infection is suspected; transmission-based precautions are added.
  • B. Masking the child alone ignores the father, who has had the same exposure and may be infectious. Proceeding with elective care during an active respiratory illness is also inappropriate.
  • C. CORRECT. Respiratory hygiene and cough etiquette require SOURCE CONTROL (a mask) plus SPATIAL SEPARATION for anyone with signs of a transmissible respiratory infection. The accompanying adult shares the exposure and should also be masked and separated. Elective dental care is then deferred, and the patient is referred for medical evaluation — with notification of public health authorities if a reportable travel-associated illness is suspected.
  • D. Simply dismissing them without evaluation, documentation or referral abandons both the patient and the public health duty.

Note: Source highlighted both 'isolate both' and 'offer both a mask' — in practice these are the same answer: mask AND separate both individuals, then defer elective care.

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