Final answer:
The correct action is to not allow direct contact between the immunocompromised patient and the potentially infectious visitor. Option 2 is appropriate, allowing the sibling to wave at the patient and communicate through a phone.
Step-by-step explanation:
If a patient is recovering from a bone marrow transplant and is on protective isolation, the most appropriate action for a nurse to take if a visitor suspected of an upper respiratory infection comes to visit is to prevent the risk of infection to the patient. The best course of action is option 2: Allow the sibling to wave at the client through the door and then offer the use of the unit phone to talk to the patient. This ensures that there is no direct contact, which could potentially expose the patient with a compromised immune system to pathogens.
Patients recovering from bone marrow transplants have very weak immune systems and must be protected against infections, including those from upper respiratory viruses which can be easily transmitted through close contact. Hence, visitors with infectious symptoms should not enter the patient's room. Measures should be taken to maintain a sterile environment, as this prevents not only the spread of infections but also safeguards against possible life-threatening complications for the immunocompromised patient.
When handling such situations, it is important to remember the principles of infection control and patient safety. Visitors should be screened for any signs of potential illness, and alternative ways of communication, like phones or video calls, should be used to facilitate interaction with the patient, minimizing the risk of transmitting infections.