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 C
Explanation
In a triage situation, the nurse should prioritize clients based on the severity of their condition and the potential for their condition to deteriorate rapidly. A client who is exhibiting agonal respirations with fixed and dilated pupils is likely experiencing a life-threatening emergency, such as respiratory or cardiac arrest, and should be transported to the emergency department first.
The nurse should initiate immediate resuscitation efforts and notify the emergency department of the client's condition.
The client with full- thickness burn injuries over 30% of his total body surface area should be transported next, as this is also a life-threatening emergency.
The client with a fracture of the humerus with a 2nd radial pulse in the affected arm can wait a bit longer as he has a palpable radial pulse indicating circulation is maintained.
The ambulatory client with a nosebleed and feeling dizzy is the least critical and can be managed in a non- emergency setting.
Correct Answer is B
Explanation
The correct answer is choice B. Interviewing shelter residents to determine the effectiveness of coping behaviors.
Choice A rationale:
Providing age-appropriate activities for shelter residents is a form of primary prevention, aimed at promoting well-being and preventing stress-related issues. It does not directly address the immediate needs of assessing and managing the aftermath of a disaster.
Choice B rationale:
Interviewing shelter residents to determine the effectiveness of coping behaviors is a secondary prevention strategy. It focuses on identifying and addressing existing issues that may have arisen due to the disaster, such as stress, anxiety, or ineffective coping mechanisms. This helps in providing timely interventions to mitigate further psychological harm.
Choice C rationale:
Compiling resources available to transition individuals from shelters to a home is a tertiary prevention strategy. It aims at long-term recovery and rehabilitation, rather than addressing immediate or ongoing issues resulting from the disaster.
Choice D rationale:
Publishing a listing of shelter locations in local media sources is a primary prevention strategy. It helps in ensuring that individuals know where to go for safety during a disaster, but it does not address the needs of those who have already survived the disaster and are currently in shelters.
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