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 C

Explanation

A. Antacids are typically used to neutralize stomach acid, which can provide relief for ulcer-related pain. If the pain worsens with antacids, it may suggest another underlying issue, such as a gastric ulcer or a different gastrointestinal condition.
B. This statement is more typical of gastric ulcers, where pain may occur shortly after eating due to increased gastric acid secretion. In duodenal ulcers, pain typically occurs a few hours after meals.
C. Duodenal ulcer pain often improves with eating because food temporarily buffers stomach acid, which can provide relief. Patients may find that their pain is relieved for a time after eating, as the food helps protect the ulcer.
D. This statement is not typically associated with duodenal ulcers. While some patients may experience variations in pain during the night, the relief during sleep is not a characteristic feature. The pain is usually more related to the timing of meals rather than sleep.

A. "I should take docusate daily to relieve constipation." B. "I am at an increased risk for high cholesterol." C. "I will need to see my doctor to have my electrolytes checked." D. "I will need to monitor my blood sugar daily as I am at risk for high sugars.

Correct Answer is C

Explanation

A. While constipation is a common side effect of gastric bypass surgery, docusate may not be necessary for all clients. The need for stool softeners should be individualized based on the client's symptoms.
B. While gastric bypass surgery can help with weight loss, it does not eliminate the risk of high cholesterol. Clients should still monitor their cholesterol levels and take appropriate measures to manage it.
C. This statement reflects an understanding of the need for ongoing medical monitoring following gastric bypass surgery. Patients are at risk for nutritional deficiencies, including electrolyte imbalances, due to changes in absorption and dietary intake. Regular checks are necessary to prevent complications.
D. While gastric bypass surgery can increase the risk of developing diabetes, not all clients will need to monitor their blood sugar daily. The need for blood sugar monitoring should be determined by the client's individual risk factors and medical history.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing the initial history and physical examination of a patient diagnosed with a duodenal ulcer. Which type of pain does the nurse expect the patient to describe?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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