A nurse is disinfecting the room of a client who has a Clostridium difficultiesinfection. Which of the following solutions should the nurse use?

Chlorhexidine.

Isopropyl alcohol.

Chlorine bleach.

Triclosan.

Answer and Explanation

The Correct Answer is C

According to the CDC1, chlorine bleach is an effective disinfectant for killing C. difficile spores on environmental surfaces.

It should be used in a 1:10 dilution of household bleach and water, freshly mixed daily.

Chlorine bleach can also kill other pathogens that may be present in the room of a client with C. difficile infection.

Choice A is wrong because chlorhexidine is not effective against C. difficile spores.

Chlorhexidine is an antiseptic that can be used for hand hygiene and surgical asepsis, but it does not kill spores.

Choice B is wrong because isopropyl alcohol is also not effective against C. difficile spores.

Alcohol-based hand sanitizers are not sufficient for preventing the spread of C. difficile, and soap and water should be used instead.

Choice D is wrong because triclosan is a type of antibacterial agent that is commonly found in some consumer products, such as soap and toothpaste. However, triclosan has no activity against C. difficile spores.

Triclosan may also contribute to antibiotic resistance and has potential adverse effects on human health and the environment.

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Correct Answer is D

Explanation

The correct answer is choice D. “You are feeling angry that your family continues to wish for a cure?”.

This response reflects the client’s feelings and encourages further communication.

It also shows empathy and respect for the client’s situation.

Choice A is wrong because it implies that the client is responsible for their family’s lack of understanding.

It may also make the client feel defensive or guilty.

Choice B is wrong because it is judgmental and dismissive of the client’s feelings.

It may also discourage the client from expressing their emotions.

Choice C is wrong because it focuses on the nurse’s needs rather than the client’s.

It may also sound intrusive or presumptuous to the client.

Hospice care is for people who are in the final stages of an incurable illness and want to focus on comfort and quality of life rather than curative treatments.

Hospice care teams provide physical, emotional, social, and spiritual support to clients and their families.

Hospice care can be provided at home, in a hospital, in a nursing home, or in a specialized hospice center.

A. Interlock her fingers and hold her hands away from her body above her waist. B. Clasp her hands together in a relaxed position behind her body at her waist. C. Place one hand over the other against the part of the gown covering her upper body. D. Keep her arms at the sides of her body with her hands in a relaxed position.

Correct Answer is A

Explanation

The correct answer is choice A. Interlock her fingers and hold her hands away from her body above her waist.

This is because this position minimizes the risk of contaminating the sterile gloves by touching any non-sterile surfaces or objects.

The nurse should also keep her hands above her waistline to prevent contamination

Choice B is wrong because clasping the hands together behind the body at the waist could contaminate the gloves by touching the non-sterile gown or the skin

Choice C is wrong because placing one hand over the other against the part of the gown covering the upper body could contaminate the gloves by touching the non-sterile gown or the skin

Choice D is wrong because keeping the arms at the sides of the body with the hands in a relaxed position could contaminate the gloves by touching any nonsterile surfaces or objects

Sterile gloves are a type of disposable rubber gloves that are put through specific procedures to eliminate germs and microorganisms.

They are used to prevent and minimize infection during surgeries or invasive procedures

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A nurse is disinfecting the room of a client who has a Clostridium difficultiesinfection. Which of the following solutions should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who was recently admitted to hospice care and tells the nurse, “I am going to die and my family is hoping for a cure. I am mad that they behave like everything will be fine.” Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse is wearing sterile gloves in preparation for assisting with a client’s sterile procedure. While waiting for the procedure to begin, how should the nurse position her hands?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a newly hired nurse about cultural sensitivity during death and dying. Which of the following information should the nurse include?

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A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

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