A nurse is caring for a client who has Clostridium difficile (C. difficile). Which of the following actions should the nurse take?

Place the client in a room with negative pressure airﬂow.

Clean hands with soap and water after caring for the client.

Apply a mask on the client when they are outside their room.

Wash hands for 10 seconds after caring for the client.

Answer and Explanation

The Correct Answer is B

Clostridium difficile (C. difficile) is a highly contagious bacteria that can cause diarrhea and colitis 1. To prevent the spread of infection, it is important for the nurse to practice good hand hygiene by washing their hands with soap and water after caring for the client.

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Correct Answer is A

Explanation

Acceptable identifiers for patients in healthcare include the patient’s full name, date of birth, medical record number, and telephone number12. These identifiers are used to reliably identify the individual as the person for whom the service or treatment is intended and to match the service or treatment to that individual.

A. Heart rate 110/min B. Restlessness C. Pink mucous membranes D. Respiratory rate 28/min

Correct Answer is C

Explanation

Supplemental oxygen is administered to increase the amount of oxygen in the body and improve tissue oxygenation. The goal of this intervention is to improve the client's condition and reduce symptoms of hypoxia.

Options a, b, and d are all indicative of ongoing hypoxia and are not desirable outcomes. An increase in heart rate and respiratory rate and restlessness can be a sign that the client is still struggling to breathe and not getting enough oxygen.

Option c, pink mucous membranes, is indicative of improved tissue oxygenation. The mucous membranes, such as those in the mouth and nose, should be a healthy pink color when oxygen levels are adequate. Therefore, the nurse should identify pink mucous membranes as an indication that the intervention was eﬀective in improving the client's hypoxia.

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A nurse is caring for a client who has Clostridium difficile (C. difficile). Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client for a procedure. Which of the following is an acceptable identifier to identify the client?

Correct Answer is A

Explanation

A nurse is caring for a client who is placed on supplemental oxygen for hypoxia. The nurse should identify that which of the following findings indicate the intervention was eﬀective?

Correct Answer is C

Explanation

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