A client presents to the emergency department (ED) reporting fever, cough, and malaise. The nurse notes that the client has a rash appearing as vesicles, most prominently on the face, palms of the hands, and soles of the feet. In addition to triaging the client as emergent, what should the nurse do? 1. Send the client to the waiting room. 2. Place the client in a negative pressure room. 3. Put a surgical mask on the client. 4. Initiate contact precautions. {Ans: 2. Place the client in a negative pressure room. (2. Correct: The client may have smallpox, which is very contagious. Smallpox can also be used as a weapon in biological warfare. The first thing the nurse should do is place the client into a negative pressure room. Doing this first will protect others from potential exposure. 1. Incorrect: Sending this client to the waiting room will expose others to smallpox. Even if you don't recognize these specific disease symptoms, fever and rash should cue you to thinking of this as a potential infectious disease. 3. Incorrect: Having the client wear a surgical mask is not sufficient in this case. All healthcare providers should wear a N95 respirator