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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Remove clean gloves and apply sterile gloves: This step is important to prevent contamination but is not the first step.
B. Place the swab in the culture tube: This is the final step in the process, not the first.
C. Irrigate the wound with 0.9% sodium chloride: The first step before collecting a wound culture is to irrigate the wound with sterile 0.9% sodium chloride (normal saline) to remove surface debris, which could contain contaminants rather than the actual infectious organisms. This ensures a more accurate specimen by collecting bacteria from the wound bed rather than from surface contaminants.
D. Rotate the swab over the sides of the wound: This step is performed after irrigating the wound and wearing sterile gloves.
Correct Answer is D
Explanation
A. The client uses religious symbols to relieve pain. This is not a typical practice in Islam.
B. The client requests holy communion daily. Holy communion is a Christian practice, not an Islamic one.
C. The client refuses medical treatment on holy days. There are no specific prohibitions against receiving medical treatment on holy days in Islam.
D. The client prefers a female nurse to provide care. Many Muslim women prefer to be cared for by female healthcare providers due to modesty and religious practices.
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