A nurse is reinforcing a teaching plan regarding proper lifting with a client. Which of the following strategies should the nurse include to prevent back injury when lifting an object?

Choice A reason: Isopropyl alcohol is not a good solution to use for disinfecting the room of a client who has a Clostridium difficile infection. Isopropyl alcohol is effective against some bacteria, viruses, and fungi, but not against Clostridium difficile spores. These spores are resistant to alcohol and can survive on surfaces for a long time.

Choice B reason: Chlorine bleach is a good solution to use for disinfecting the room of a client who has a Clostridium difficile infection. Chlorine bleach is effective against a wide range of microorganisms, including Clostridium difficile spores. It can kill the spores and prevent their spread. The nurse should use a diluted bleach solution (1:10) and follow the manufacturer's instructions for contact time and safety precautions.

Choice C reason: Chlorhexidine is not a good solution to use for disinfecting the room of a client who has a Clostridium difficile infection. Chlorhexidine is an antiseptic that is used for skin cleansing and wound care. It is not effective against Clostridium difficile spores and can promote their growth.

Choice D reason: Triclosan is not a good solution to use for disinfecting the room of a client who has a Clostridium difficile infection. Triclosan is an antibacterial agent that is used in some soaps, toothpastes, and cosmetics. It is not effective against Clostridium difficile spores and can contribute to antibiotic resistance.

Choice A reason: Client instructed on self-care needs is not a specific or accurate documentation. The nurse should include the details of the instruction, such as the topics covered, the teaching methods used, the client's response, and the evaluation of learning.

Choice B reason: Oral temperature elevated at 0800 is a specific and accurate documentation. The nurse should include the vital signs and any abnormal findings, such as fever, in the client's health record. The nurse should also report the elevation to the provider and monitor the client for signs of infection.

Choice C reason: Episiotomy approximated, 3 cm (1.18 in) in length is not a specific or accurate documentation. The nurse should include the type, location, and degree of the episiotomy, as well as the condition of the wound, the presence of edema, erythema, or drainage, and the interventions performed.

Choice D reason: Client drank adequate amounts of fluid with meals is not a specific or accurate documentation. The nurse should include the exact amount and type of fluid intake, as well as the output, in the client's health record. The nurse should also assess the client for signs of dehydration or fluid overload.