A nurse is performing hand hygiene after caring for a client who has Clostridium difficile. Which of the following cleansing agents should the nurse use?

A) A newborn has an Apgar score of 7 at 5 min after birth:

An Apgar score of 7 at 5 minutes after birth is within the expected range and does not require an incident report. Apgar scores are used to assess a newborn's overall condition at birth, and a score of 7 indicates the infant is in good condition.

B) A newborn has respiratory distress and requires oxygen:

This event warrants completing an incident report because respiratory distress in a newborn requiring oxygen may indicate a significant clinical issue that needs to be investigated further. An incident report allows for documentation and investigation of the event to ensure appropriate actions are taken to address the newborn's condition and prevent similar incidents in the future.

C) A newborn receives erythromycin ophthalmic ointment 4 hr after birth:

Administering erythromycin ophthalmic ointment to newborns is a routine procedure to prevent ophthalmia neonatorum and does not require an incident report unless there is an adverse reaction or error in administration.

D) A newborn receives a heel stick on the outer aspect of the heel:

Heel sticks are commonly performed for newborn screening tests, such as blood glucose or bilirubin levels. Unless there is an error in the procedure or an adverse event related to the heel stick, it does not necessitate an incident report.

A) The client reports insomnia:

Insomnia is a common symptom in Parkinson's disease but may not pose an immediate threat to the client's health or require urgent intervention compared to other symptoms such as difficulty swallowing.

B) The client requires additional help to stand:

While needing assistance to stand is indicative of the progression of Parkinson's disease and may require attention, it is not typically considered a priority over symptoms that directly impact the client's safety and well-being.

C) The client has increased difficulty dressing:

Increased difficulty dressing is a manifestation of Parkinson's disease progression and may impact the client's independence and quality of life. However, it is not as immediately life-threatening as difficulty swallowing.

D) The client has difficulty swallowing:

Difficulty swallowing, or dysphagia, is a serious concern in Parkinson's disease as it can lead to aspiration, malnutrition, dehydration, and respiratory complications such as pneumonia. It poses a significant risk to the client's safety and requires prompt attention to prevent complications. Therefore, it is the priority finding to report at the interprofessional care conference.