The nurse is caring for a client with Clostridium Difficile. Which of the following infection control precautions should the nurse implement?(Select All that Apply.)
Wear gloves when assessing the client.
Instruct family members not to use client restroom.
Move the client to a private room.
Utilize alcohol-based hand hygiene.
Wear a surgical mask when obtaining client vital signs.
Correct Answer : A,B,C
A. Gloves should be worn to protect the healthcare provider from potential exposure to C. diff spores, which can be present in the client’s stool. It also prevents the spread of infection to other patients and surfaces.
B. C. diff is highly contagious, and the spores can persist on surfaces. Restricting family members from using the client's restroom helps reduce the risk of spreading the infection to others, especially in shared facilities.
C. Placing the client in a private room helps prevent the spread of C. diff to other patients, particularly in healthcare settings. This isolation is critical for controlling outbreaks of this infection.
D. This is not recommended for C. diff. While alcohol-based hand sanitizers are effective against many pathogens, they do not effectively kill C. diff spores. Handwashing with soap and water is the preferred method after caring for a C. diff patient to ensure thorough removal of spores.
E. C. diff is primarily transmitted via the fecal-oral route, and droplet precautions are not required. Masks are typically used for respiratory infections, not for gastrointestinal infections like C. diff.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
A. Living independently does not inherently increase the risk for C. difficile. Risk factors are more related to antibiotic use, exposure in healthcare settings, and individual health conditions rather than the living situation itself.
B. A weakened immune system (due to conditions like HIV/AIDS, cancer, or immunosuppressive therapy) can increase susceptibility to infections, including C. difficile. Individuals with compromised immunity are less able to fight off infections.
C. The use of antibiotics is a significant risk factor for C. difficile infection. Antibiotics can disrupt the normal gut flora, leading to overgrowth of C. difficile and subsequent infection.
D. While watery diarrhea is a common symptom of C. difficile infection, it is not a risk factor for developing the infection itself. Instead, it indicates that the infection is already present. Thus, this option does not contribute to the risk of developing C. difficile.
E. Fever is often a symptom of an underlying infection but is not a direct risk factor for developing C. difficile. It can occur with C. difficile infection but does not increase the likelihood of becoming infected.
Correct Answer is D
Explanation
A. While monitoring the surgical site is important, changing the dressing is not the highest priority immediately post-operatively. The initial focus should be on assessing the patient's stability and managing any complications rather than performing a dressing change.
B. Assessing bowel sounds is important to evaluate gastrointestinal function, particularly after gastrointestinal surgery. However, this can be done after ensuring that the patient is stable and that their airway, breathing, and circulation are prioritized. While important, it is not the immediate priority.
C. If the patient has a nasogastric (NG) tube in place and is experiencing nausea, this may require attention, as it can indicate a blockage or discomfort. However, repositioning the NG tube may not be the first intervention to prioritize in the immediate post-operative setting.
D. This intervention is critical for multiple reasons. Elevating the head of the bed helps reduce the risk of aspiration, improves breathing by enhancing lung expansion, and aids in reducing pressure on the surgical site. After abdominal surgery, especially in obese patients, elevating the head can also promote comfort and facilitate early ambulation.
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