If a patient with an airborne infection shows wheezing and respiratory distress, which intervention should be avoided?

When managing a patient with an airborne infection who is exhibiting wheezing and respiratory distress, it is critical to prioritize interventions that minimize the risk of pathogen transmission to others, especially in a healthcare setting. The correct choice highlights the need to avoid nebulized medications or CPAP unless a HEPA filter can be attached.

Nebulizers can aerosolize medications, which may inadvertently disperse infectious particles into the air, posing a risk to nearby individuals. This is particularly concerning for airborne infections, where transmission can occur through inhalation of particles that remain suspended in the air. Using a HEPA filter in such situations can help contain the aerosolized particles, making nebulized medications safer to administer. However, if such protective equipment is not available, it's advisable to avoid nebulization to prevent the spread of infection.

In contrast, administering albuterol as needed, monitoring vital signs, and providing supplemental oxygen are important interventions for managing respiratory distress. These actions directly support the patient’s respiratory needs without posing a risk to others, highlighting the importance of judicious intervention choices that prioritize both patient care and public safety in the context of airborne precautions.