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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Urine retention is not typically associated with appendicitis. While urinary issues may occur with abdominal pain due to other reasons, they do not specifically indicate appendicitis. Therefore, this option is not relevant.
B. Increased lower bowel motility can be seen in various gastrointestinal conditions, but it is not a specific indicator of appendicitis. In fact, appendicitis may lead to decreased bowel motility due to inflammation. Thus, this option is not indicative of appendicitis.
C. Gastric hyperacidity refers to increased stomach acid production and is associated with conditions like gastritis or peptic ulcers, but it is not a clinical indicator of appendicitis. Therefore, this option is not relevant to the diagnosis of appendicitis.
D. Rebound tenderness is a classic sign of appendicitis. It occurs when pressure is applied to the abdomen and then released, causing pain. This indicator suggests irritation of the peritoneum, which can occur with appendicitis.

A. History of bulimia B. Drinks green tea C. Has a glass of wine with dinner each day D. History of NSAID use

Correct Answer is D

Explanation

A. Bulimia involves episodes of binge eating followed by purging and can lead to a range of gastrointestinal issues, including esophageal damage and electrolyte imbalances. However, it is not a direct risk factor for the development of peptic ulcers. While it can affect the digestive system, it does not inherently increase the risk of ulcers.
B. Green tea is generally considered to have health benefits and is not typically associated with an increased risk of peptic ulcers. In some cases, it may even provide protective effects against gastric ulcers due to its antioxidant properties.
C. Moderate alcohol consumption can have varying effects on gastric mucosa. While excessive alcohol consumption is a risk factor for developing ulcers, moderate consumption, such as a glass of wine with dinner, is not typically considered a significant risk factor.
D. This is a well-established risk factor for peptic ulcer disease. Nonsteroidal anti-inflammatory drugs (NSAIDs) can irritate the gastric lining and inhibit the production of protective mucus, leading to an increased risk of developing ulcers.

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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.)

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Naxlex Comprehensive Predictor Exams

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Explanation

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