A nurse is caring for a client.
A nurse is caring for the client. Which of the following actions should the nurse take? Select all that apply.
Wear a protective gown while caring for the client.
Place the client in a negative pressure room
Place the client in a private room.
Wear an N-95 respirator while caring for the client.
Place a mask on the client when they leave their room.
Correct Answer : A,C
Clostridium difficile (C. difficile) infection is a healthcare-associated gastrointestinal infection that occurs after disruption of normal intestinal flora, commonly following antibiotic use. It causes profuse, foul-smelling diarrhea, abdominal cramping, and can lead to severe colitis. Transmission occurs via the fecal-oral route through spores that contaminate surfaces and hands. Strict infection control precautions are essential to prevent spread within healthcare settings.
Rationale:
A. Wearing a protective gown is required because C. difficile spores can contaminate clothing during patient care. Contact precautions include gown use to prevent transmission to other patients and surfaces. This is a key component of infection control when managing patients with infectious diarrhea.
B. Placing the client in a negative pressure room is incorrect because this type of room is used for airborne infections such as tuberculosis or measles. C. difficile is transmitted via contact with spores, not airborne particles. Therefore, a negative pressure environment is not indicated.
C. Placing the client in a private room is appropriate to reduce the risk of spreading C. difficile spores to other patients. Contact precautions require isolation to limit environmental contamination and cross-transmission. If a private room is unavailable, cohorting with another infected patient may be considered.
D. Wearing an N-95 respirator is not necessary because C. difficile is not transmitted through the airborne route. Standard contact precautions do not require respiratory protection unless aerosol-generating procedures for airborne pathogens are being performed. Hand hygiene and barrier protection are more important.
E. Placing a mask on the client when they leave the room is not required for C. difficile infection. Masks are used for droplet or airborne precautions, not contact precautions. The primary concern is containment of spores through hand hygiene and surface disinfection rather than respiratory transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Urinary catheterization requires knowledge of the anatomical differences between the male and female urinary systems to ensure safe insertion and reduce the risk of trauma or infection. The female urethra is anatomically much shorter and straighter than the male urethra, which affects both the ease of catheter insertion and the risk of urinary tract infections. Understanding these structural differences helps the nurse choose the correct technique and anticipate possible complications during catheterization.
Rationale:
A. Different innervation is not the primary anatomical difference considered during catheterization. Both male and female urethras receive autonomic and somatic nerve supply for urinary function. While nerve supply differs slightly in distribution, the most clinically significant factor during catheter insertion is the structural length and pathway of the urethra.
B. No connection with the bladder is incorrect because both the male and female urethra directly connect the urinary bladder to the external urinary meatus. The urethra serves as the passage for urine elimination in both sexes. Lack of bladder connection would make urinary catheterization impossible.
C. Longer in length is incorrect because the male urethra is significantly longer, measuring about 18 to 20 cm, while the female urethra is about 4 to 6 cm long. The longer male urethra makes catheterization more technically challenging. Therefore, the female urethra is not longer.
D. Shorter in length is correct because the female urethra is much shorter than the male urethra, usually about 4 to 6 cm. This shorter length allows easier catheter insertion but also increases susceptibility to ascending urinary tract infections. Recognizing this difference is important for safe and efficient catheterization.
Correct Answer is ["8"]
Explanation
Calculation:
- Identify the total volume, infusion time, and drop factor
Total Volume: 150 mL
Time: 3 hours = 180 minutes
Drop Factor: 10 gtt/mL
- Calculate the flow rate
Flow Rate (gtt/min) = (Total Volume × Drop Factor) ÷ Time
Flow Rate = (150 × 10) ÷ 180
Flow Rate = 1500 ÷ 180
Flow Rate ≈ 8.33
- Round to the nearest whole number
= 8 gtt/min
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