nurse is caring for a client who has Clostridium difficile (C. difficile). Which of the following actions should the nurse take?
Clean hands with soap and water after caring for the client
Place the client in a room with negative pressure airflow
Wash hands for 10 seconds after caring for the client
Apply a mask on the client when they are outside their room
The Correct Answer is A
A. Clean hands with soap and water after caring for the client: C. difficile spores are resistant to alcohol-based hand sanitizers. Therefore, it is essential to use soap and water to effectively remove the spores from hands.
B. Place the client in a room with negative pressure airflow: C. difficile is not an airborne infection, so negative pressure airflow is not required. This measure is typically used for infections such as tuberculosis.
C. Wash hands for 10 seconds after caring for the client: Handwashing with soap and water should be done for at least 20 seconds to effectively remove C. difficile spores.
D. Apply a mask on the client when they are outside their room: A mask is not necessary for clients with C. difficile, as the infection is not transmitted through respiratory droplets but rather through fecal-oral transmission.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Dual diagnosis treatment: This group is appropriate as it addresses both the antisocial personality disorder and alcohol dependency. Dual diagnosis treatment provides integrated care for individuals with co-occurring mental health and substance use disorders, making it a suitable option for this client.
B. Codependency support: This group primarily focuses on individuals affected by another person's substance use or behavior rather than directly addressing the issues of substance dependence and personality disorders in the individual.
C. Psychodrama: While psychodrama can be useful for exploring interpersonal issues and emotional experiences, it may not specifically address the dual challenges of antisocial personality disorder and alcohol dependency as effectively as dual diagnosis treatment.
D. Crisis intervention: This group focuses on immediate problems and crisis management rather than ongoing management of complex, co-occurring disorders. It may not provide the comprehensive support needed for both antisocial personality disorder and alcohol dependency.
Correct Answer is A
Explanation
A. Current Medical condition: The situation component of ISBARR focuses on the patient's current medical condition and why they are in the facility. It provides a snapshot of the client's immediate situation.
B. List of medications: While important, the list of medications is more relevant to the background or assessment components of the report.
C. Vital signs: Vital signs are part of the assessment, providing data on the client’s current health status.
D. Treatment: Treatment information falls under the recommendation or background sections of the report, detailing the plans or historical context rather than the immediate situation.
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