National Physical Therapy Examination (NPTE) Practice Exam

What is the most appropriate action for a patient with a painful skin rash with blisters in the T4 dermatome distribution?

1. Continue the treatment per the plan of care

2. Order a viral culture and Tzanck smear

3. Utilize standard precautions and notify the supervising PT

4. Recommend the patient see their primary care physician

The correct answer is: Utilize standard precautions and notify the supervising PT

In the context of a patient presenting with a painful skin rash and blisters in the T4 dermatome, which suggests a potential viral infection such as herpes zoster (shingles), utilizing standard precautions and notifying the supervising physical therapist is essential. This action is appropriate due to the infectious nature of the condition, as shingles can be contagious, especially to individuals who are immunocompromised or have not had chickenpox or the vaccine. Implementing standard precautions ensures that proper hygiene practices are followed to minimize the risk of transmission. This includes measures such as handwashing, using personal protective equipment (PPE) if necessary, and maintaining cleanliness in the treatment environment. By notifying the supervising PT, the patient's case can be properly managed within the clinical setting, ensuring that appropriate actions are taken to address the patient's symptoms while also prioritizing the safety of other patients and healthcare staff. The other choices do not reflect the urgency and priority of infection control. Continuing treatment without addressing the rash could exacerbate the patient's condition or increase the risk of transmitting an infectious disease. While ordering a viral culture and Tzanck smear could provide diagnostic information, immediate actions surrounding infection control are critical in this scenario. Additionally, though recommending to see a primary care physician is valid, it