A nurse is planning care for a client who has a Clostridium difficile infection. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

Place the client in contact Isolation.

Prepare the client for a colonoscopy.

Administer docusate sodium 500 mg daily.

Use a bleach solution to clean the client's bedside table.

Use hand sanitizer immediately after caring for the client.

Answer and Explanation

Correct Answer : A,D

A. Place the client in contact isolation. Contact isolation helps prevent the spread of C. difficile to other patients and staff by requiring the use of gowns and gloves when entering the patient's room.
B. Prepare the client for a colonoscopy. This is not typically part of the standard care plan for C. difficile infection. Colonoscopies are not indicated for diagnosing or managing C. difficile.
C. Administer docusate sodium 500 mg daily. Docusate sodium is a stool softener and is not appropriate for treating C. difficile, which causes diarrhea.
D. Use a bleach solution to clean the client's bedside table. Bleach is effective at killing C. difficile spores, which are resistant to many other cleaning agents.
E. Use hand sanitizer immediately after caring for the client. Hand sanitizers are not effective against C. difficile spores. Handwashing with soap and water is necessary.

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Correct Answer is D

Explanation

A. "Increase your intake of dietary calcium." Increasing dietary calcium is recommended for overall health, including potential benefits for colon health. However, it is not the primary recommendation for preventing colon cancer.
B. "Follow a low-residue diet." A low-residue diet is not typically recommended for cancer prevention. It is used in specific situations, like managing inflammatory bowel disease or preparing for certain diagnostic tests.
C. "Limit fruit intake to 8 oz a day." Limiting fruit intake is not advised for cancer prevention. In fact, a diet rich in fruits and vegetables is generally recommended for reducing cancer risk.
D. "Increase your intake of dietary fiber." is a well-established recommendation for reducing the risk of colon cancer. Fiber helps to promote regular bowel movements and can aid in the prevention of cancerous lesions in the colon.

A. Place throw rugs over thresholds between rooms. B. Set the water heater to 54.5° C (130° F). C. Set the home thermostat to 26° C (79° F). D. Replace the shower head with a hand-held nozzle.

Correct Answer is D

Explanation

A. Place throw rugs over thresholds between rooms.Throw rugs can be a tripping hazard, especially for older adults who may have difficulty with balance and mobility.
B. Set the water heater to 54.5° C (130° F). This temperature is too high and can cause burns. It is recommended to set the water heater to no higher than 48.9° C (120° F) to prevent scalding.
C. Set the home thermostat to 26° C (79° F).This temperature might be uncomfortable and is not directly related to safety. It is more important to ensure the home is at a comfortable and safe temperature, typically around 21-23° C (70-73° F).
D. Replace the shower head with a hand-held nozzle. A hand-held shower nozzle can help prevent falls by allowing the client to remain seated while bathing, thereby reducing the risk of slipping.

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A nurse is planning care for a client who has a Clostridium difficile infection. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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