A nurse is caring for a patient who has a Clostridium difficile infection. Which cleansing agent should the nurse use for hand hygiene?

Chlorhexidine

Alcohol-based antiseptic

Povidone-iodine

Soap and water

Answer and Explanation

The Correct Answer is D

Choice A rationale
Chlorhexidine is an antiseptic that is used for cleaning the skin or the hands and helps to prevent infections caused by bacteria. However, it is not the recommended cleansing agent for hand hygiene in a Clostridium difficile infection.
Choice B rationale
Alcohol-based antiseptics are commonly used for hand hygiene in healthcare settings. However, they are not effective against Clostridium difficile spores.
Choice C rationale
Povidone-iodine is an antiseptic used for skin disinfection before and after surgery. It may not be effective against Clostridium difficile spores.
Choice D rationale
Soap and water are recommended for hand hygiene when caring for a patient with a Clostridium difficile infection. This is because soap and water are effective in removing C. difficile spores from hands.

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Correct Answer is C

Explanation

Choice A rationale
This statement indicates fatigue and lack of energy, which are common symptoms in patients with end-stage liver cancer. However, it does not necessarily indicate denial.
Choice B rationale

This statement suggests acceptance rather than denial. The patient acknowledges the doctor’s efforts and seems to accept their own mortality.
Choice C rationale
This statement indicates denial. The patient is dismissing the doctor’s prognosis and expressing disbelief about the severity of their condition.
Choice D rationale
This statement suggests anger or frustration towards the doctor, but it does not necessarily indicate denial.

A. Moderate sedation B. Local anesthesia C. Regional anesthesia D. General anesthesia

Correct Answer is A

Explanation

Choice A rationale
Moderate sedation is commonly used for colonoscopies. It provides adequate comfort and relaxation for the patient during the procedure, while allowing them to breathe on their own.
Choice B rationale

Local anesthesia is not typically used for colonoscopies. It numbs a specific area of the body and would not provide sufficient comfort or relaxation for a colonoscopy.
Choice C rationale
Regional anesthesia, such as spinal or epidural anesthesia, is not typically used for colonoscopies. It blocks pain in a larger area of the body than local anesthesia, but is more commonly used for surgeries rather than diagnostic procedures like colonoscopies.
Choice D rationale
General anesthesia is rarely used for colonoscopies. It causes complete unconsciousness and is typically reserved for more invasive or lengthy surgical procedures.

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A nurse is caring for a patient who has a Clostridium difficile infection. Which cleansing agent should the nurse use for hand hygiene?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who has been diagnosed with end-stage liver cancer. Which statement by the patient indicates that the patient is in the denial phase of the grief process?

Correct Answer is C

Explanation

A nurse is planning care for a client who is scheduled for a colonoscopy. The nurse should expect the client to receive which of the following types of anesthesia?

Correct Answer is A

Explanation

A nurse is educating a client with Crohn’s disease about dietary choices. Which food should the nurse recommend as part of the diet?

The nurse is gathering information from a patient with abdominal pain. Which description of pain is consistent with diverticulitis?

A nurse is assisting in the plan of care for a client who had surgery for a bowel obstruction. The client has a nasogastric tube in place.Which of the following actions should the nurse include in the client’s plan of care? (Select all that apply)

A nurse is collecting data from a patient who has gastroesophageal reflux disease (GERD) and reports experiencing heartburn every night. Which of the following actions should the nurse identify as a contributing factor to the patient’s heartburn?

A patient with Crohn’s disease has recently undergone surgery to create an ileostomy. For which common complication of this type of surgery should the nurse monitor the patient in the postoperative period?

A nurse is assisting in the care of a patient who has cirrhosis of the liver with ascites. What action should the nurse take?

A nurse is providing care for a client who has recently been diagnosed with Clostridium difficile and is under contact precautions. What action should the nurse take?

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