A nurse is assisting with the plan of care for an older adult client who has a new prescription for transdermal clonidine. Which of the following information should the nurse include in the plan of care?

Choice A Reason:

The client had a hemorrhoidectomy 1 year ago is appropriate. While hemorrhoids involve bleeding in the anal area, the blood from hemorrhoids is usually visibly present and not considered "occult" or hidden. A history of hemorrhoidectomy is less likely to cause a false-positive occult blood test result as the bleeding is typically visible.

Choice B Reason:

The client takes ibuprofen for headaches is correct. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can irritate the gastrointestinal tract, leading to small amounts of bleeding. This bleeding, although not typically visible, can be detected by occult blood tests, resulting in a false-positive result

Choice C Reason:

The client has a history of breast cancer is incorrect. A history of breast cancer, in itself, is not directly related to gastrointestinal bleeding that would lead to a false-positive result in an occult blood test. Occult blood screening tests primarily detect bleeding from the gastrointestinal tract.

Choice D Reason:

The client consumed citrus juice 3 days before the test is incorrect. Consumption of citrus juice is not known to cause false-positive results in occult blood screening tests. These tests are designed to detect blood specifically from the gastrointestinal tract and aren't affected by citrus juice consumption.

Choice A Reason:

Discarding soiled wound care supplies in a trash receptacle outside the client's room is generally a good practice for infection control. However, this action alone might not be sufficient for managing an infectious wound. Proper disposal is essential, but placing the client in isolation is more critical to prevent the spread of infection.

Choice B Reason:

Administering antibiotic therapy before culturing the wound might interfere with accurate culture results. It's generally preferred to obtain wound cultures before starting antibiotic therapy to identify the specific pathogens causing the infection and determine the most effective treatment.

Choice C Reason:

Placing the client in a private room with a private bathroom is correct. Isolating the client in a private room with a private bathroom helps minimize the spread of potential pathogens present in the wound drainage. This measure helps contain the infection and prevents exposure to others.

Choice D Reason:

Instructing visitors to perform hand hygiene for only 5 seconds after leaving the client's room isn't thorough enough for proper infection control. Proper hand hygiene typically involves washing hands with soap and water or using alcohol-based hand sanitizer for at least 20 seconds to effectively reduce the spread of infection.