A nurse is collecting research to revise the protocol for specimen collection on their unit.
From which of the following sources should the nurse retrieve the information?

Choice A rationale:

Justice is the ethical principle related to fairness and equality in healthcare. It is not applicable in this scenario as it does not address the nurse's action of returning at 1400 for wound care.

Choice B rationale:

Autonomy is the principle that respects a patient's right to make decisions about their own healthcare. While important, this is not the focus of the nurse's action in this scenario.

Choice C rationale:

Veracity refers to truthfulness and honesty in healthcare. The nurse returning at the agreed time of 1400 does not primarily relate to veracity. It is more about keeping a commitment.

Choice D rationale:

Fidelity, or faithfulness, is the ethical principle that the nurse is demonstrating in this scenario. The nurse is keeping their commitment to provide wound care at the agreed time of 1400. This aligns with the principle of fidelity.

The correct answers are a. Wear a protective gown while caring for the client, b. Place the client in a private room, and e. Place a mask on the client when they leave their room.

Choice A rationale: Clostridium difficile (C. diff) is primarily spread through contact with feces, surfaces, or objects contaminated with the bacteria. Healthcare workers can inadvertently spread the bacteria to other patients if proper contact precautions are not followed. Wearing a protective gown while caring for a client with C. diff helps to prevent the spread of bacteria and maintain proper infection control measures.

Choice B rationale: Isolation precautions are recommended for clients with C. diff to prevent the spread of the bacteria to other patients. Placing the client in a private room can help to achieve isolation and minimize the risk of cross-transmission.

Choice C rationale (Incorrect choice): While wearing personal protective equipment (PPE) is crucial when caring for clients with infectious diseases, an N-95 respirator is not necessary for C. diff. The bacteria is not airborne, and its transmission primarily occurs through contact with contaminated surfaces or objects. Standard surgical masks are sufficient for healthcare workers when caring for clients with C. diff, as they can protect against droplet transmission.

Choice D rationale (Incorrect choice): A negative pressure room is not required for clients with C. diff, as the bacteria is not airborne. Negative pressure rooms are typically used for patients with airborne diseases, such as tuberculosis, to prevent the spread of infectious particles through the air.

Choice E rationale: If a client with C. diff needs to leave their room for any reason, placing a mask on the client can help minimize the risk of droplet transmission. This precautionary measure can reduce the potential spread of bacteria to other areas within the healthcare facility.