A nurse is caring for a child who has a health care-associated infection (HAI). What factors may have contributed to the development of this type of infection? (Select all that apply.)

Choice A reason: This is the correct answer, as contact precautions are indicated for patients who have infections that can be spread by direct or indirect contact with the patient or their environment. CDI is caused by a bacterium that produces spores that can contaminate surfaces or objects and can be transmitted through hand contact.

Choice B reason: This is not the correct answer, as droplet precautions are indicated for patients who have infections that can be spread by large droplets that are generated by coughing, sneezing, or talking and can be transmitted to others who are within 3 feet of the patient. CDI is not spread by respiratory droplets.

Choice C reason: This is not the correct answer, as airborne precautions are indicated for patients who have infections that can be spread by small droplets that remain in the air for long periods of time and can be inhaled by others. CDI is not spread by airborne droplets.

Choice D reason: This is not the correct answer, as neutropenic precautions are indicated for patients who have low white blood cell counts and are at risk of developing infections from normal flora or environmental sources. CDI is not caused by normal flora or environmental sources, but by an overgrowth of a bacterium that is usually present in small amounts in the intestine.

Choice A reason: This factor may have contributed to the development of an HAI, as children have immature immune systems that make them more susceptible to infections.

Choice B reason: This factor may have contributed to the development of an HAI, as children may be exposed to other infected patients or health care workers who can transmit microorganisms through direct or indirect contact.

Choice C reason: This factor may have contributed to the development of an HAI, as children may use contaminated medical devices or equipment that can introduce microorganisms into their body, such as catheters, ventilators, or intravenous lines.

Choice D reason: This factor may have contributed to the development of an HAI, as children may contact environmental surfaces or objects that can harbor microorganisms, such as bed rails, tables, toys, or books.

Choice E reason: This factor may not have contributed to the development of an HAI, as CAIs are infections that are acquired outside of health care settings. However, CAIs may increase the risk of HAIs if they are not treated properly or if they cause complications.