A home health nurse is caring for a client who has a Clostridium difficile infection. Which of the following actions should the nurse take?
Clean the client's bathroom with a diluted bleach solution.
Instruct the client to avoid the use of probiotics.
Obtain a surgical mask for the client to wear when away from home.
Use an alcohol-based hand sanitizer following care.
The Correct Answer is A
Clostridium difficile is a highly contagious bacterium that can survive on surfaces for long periods of time. Cleaning the bathroom with a diluted bleach solution is an effective way to kill the bacteria and prevent its spread. The nurse should also instruct the client to wash their hands frequently with soap and water, as alcohol-based hand sanitizers are not effective against Clostridium difficile.
It is not necessary for the client to wear a surgical mask when away from home, as the bacteria is primarily spread through contact with contaminated surfaces. The use of probiotics may be beneficial in restoring the balance of gut bacteria in some cases, but there is limited evidence to support its use in preventing or treating Clostridium difficile infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The first priority in discharge planning for this client should be to arrange for a home health nurse to visit the client following discharge to monitor the client's health and provide support. The client's condition is complex and requires ongoing monitoring and support to prevent relapse and ensure safety.
Providing the client with information on self-help groups and determining home safety measures are also important components of the discharge plan, but they should come after ensuring that the client has the necessary support in place. Contacting a social worker to assist with managing finances is not a priority at this time.
Correct Answer is C
Explanation
The client's statement that they are afraid of experiencing pain near the end of life may indicate a risk for suicide, as it suggests that the client may be considering suicide as a way to avoid the anticipated pain. The other statements do not necessarily indicate a risk for suicide.
Statement a) may indicate a desire to maintain autonomy and control over their healthcare decisions.
Statement b) may indicate a hopeful attitude, which can be a protective factor against suicide.
Statement d) may indicate a reliance on social support, which can also be a protective factor against suicide.
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