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 ["A","B","C"]
Explanation
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.
Correct Answer is ["A","B","D","E"]
Explanation
A. Oral feeding supplements are often included in the care plan for clients with malnutrition. They provide additional calories and nutrients that can help improve the client's nutritional status and support recovery. This is an appropriate prescription.
B. Daily weights are essential in monitoring the client’s fluid status and overall nutritional progress.
Weight changes can indicate improvements or worsening of the client’s condition, particularly in cases
of malnutrition or fluid retention. This is a valuable prescription.
C. A low protein diet is generally not appropriate for a client with anemia and malnutrition. Protein is essential for healing, maintaining muscle mass, and overall health. Instead, the care plan should emphasize adequate protein intake to support recovery and address nutritional deficiencies.
D. Monitoring pre-albumin levels is crucial in assessing the client's nutritional status. Pre-albumin is a sensitive marker for protein status and can help gauge the effectiveness of nutritional interventions. This is an important prescription to include.
E. Keeping a calorie count helps assess the client's intake and ensure that they are receiving adequate nutrition. This information is vital for adjusting the dietary plan as needed to meet the client’s caloric and nutritional needs. Therefore, this is a relevant prescription.
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