A nurse is assessing a client who is at 28 weeks of gestation and has a Clostridium difficile infection.

The nurse should initiate which of the following types of isolation precautions for the client?

Droplet.

Airborne.

Protective environment.

Contact.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Droplet precautions are used for diseases or germs that are spread in tiny droplets caused by coughing and sneezing (examples: pneumonia, influenza, whooping cough, bacterial meningitis). This is not the case with Clostridium difficile.
Choice B rationale:
Airborne precautions are used for diseases or germs that are spread through the air (examples: tuberculosis, measles, chickenpox). This is not the case with Clostridium difficile.
Choice C rationale:
A protective environment is a room designed to reduce the risk of infections from airborne, droplet, and contact transmissions. It’s typically for patients who have undergone stem cell transplants. This is not necessary for Clostridium difficile.
Choice D rationale:
Contact precautions are used for diseases or germs that are spread by touching the patient or items in the room (examples: MRSA, VRE, diarrheal illnesses, open wounds). Clostridium difficile is spread via contact, hence contact precautions are appropriate.

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Correct Answer is B

Explanation

Choice A rationale:
The amount of amniotic fluid around the fetus is determined by an ultrasound, not an indirect Coombs’ test.
Choice B rationale:
The indirect Coombs’ test is used to detect Rh-positive antibodies in the mother’s blood.
Choice C rationale:
The risk of hypoglycemia in the newborn is not determined by the indirect Coombs’ test.
Choice D rationale:
Blood flow in the fetus and placenta is studied using Doppler ultrasound, not an indirect Coombs’ test.

A. Subcutaneous in the right deltoid. B. IM in the left vastus lateralis. C. IM in the right deltoid. D. Subcutaneous in the left vastus lateralis.

Correct Answer is B

Explanation

Choice A rationale:
Subcutaneous injections are not typically used for newborns due to their lack of subcutaneous fat.
Choice B rationale:
The vastus lateralis muscle is the preferred site for IM injections in newborns due to its size and location.
Choice C rationale:
The deltoid is not a recommended site for IM injections in newborns due to its small size.
Choice D rationale:
As mentioned earlier, subcutaneous injections are not typically used for newborns.

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A nurse is assessing a client who is at 28 weeks of gestation and has a Clostridium difficile infection. The nurse should initiate which of the following types of isolation precautions for the client?

Nursing Test Bank

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A nurse is assessing a client who is at 28 weeks of gestation and has a Clostridium difficile infection.

The nurse should initiate which of the following types of isolation precautions for the client?