The practical nurse (PN) is reviewing laboratory findings for a client with diarrhea for several days. The analysis confirmed that Clostridium difficile is present-in the client's stool. Which comment should the PN provide to family members to avoid the spread of the infection?
Visitors should only wash hands with soap and water.
Standard precautions apply to clients with active diarrhea.
Clostridium difficile spores do not live long on surfaces outside of the host.
Only immunosuppressed family members should take precautions.
The Correct Answer is A
A. Visitors should only wash hands with soap and water: Handwashing with soap and water is essential because alcohol-based sanitizers are ineffective against Clostridium difficile spores. Physical friction from washing removes spores and significantly reduces the risk of transmission.
B. Standard precautions apply to clients with active diarrhea: Clients with C. difficile require contact precautions, not just standard precautions, due to the high risk of environmental contamination and spore transmission through direct and indirect contact.
C. Clostridium difficile spores do not live long on surfaces outside of the host: C. difficile spores are very hardy and can survive on surfaces for long periods, sometimes weeks or months, making environmental cleaning and personal hygiene critical.
D. Only immunosuppressed family members should take precautions: All visitors and healthcare workers must use precautions, not just immunosuppressed individuals, because C. difficile is highly contagious and can infect healthy individuals through spore ingestion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Use a gait belt during ambulation: A gait belt helps with safe ambulation but does not directly prevent footdrop, which results from muscle weakness or nerve damage when the foot remains in a pointed downward position for too long.
B. Elevate the feet while in bed: Elevating the feet may help with circulation and swelling, but it does not address the muscle weakness or nerve inactivity that can cause footdrop.
C. Begin range of motion exercises: Range of motion exercises maintain joint flexibility and muscle strength, which are essential to prevent footdrop. Moving the ankle and foot helps avoid stiffness and maintains dorsiflexion function.
D. Apply compression stockings: Compression stockings prevent blood clots and control swelling but do not prevent the muscular and neurological complications that lead to footdrop.
Correct Answer is ["A","C","D","E"]
Explanation
A. Show acceptance of the client's current feelings: Accepting the client’s emotional response without judgment builds trust and provides emotional support, which is critical when coping with a new diagnosis of advanced cancer.
B. Share a similar personal experience: Sharing personal experiences shifts the focus away from the client’s feelings and can be perceived as minimizing their unique emotional response. It is more therapeutic to focus entirely on the client’s experience.
C. Document the behavior in the client's record: Accurate documentation of the client's emotional state ensures continuity of care and alerts other healthcare providers to the client's need for emotional support and potential interventions.
D. Ask the palliative care nurse to see the client: Involving a palliative care specialist provides expert emotional, spiritual, and symptom management support, which is appropriate for a client newly diagnosed with stage IV cancer.
E. Allow the client a time to continue crying: Allowing the client to cry acknowledges their need to express grief and emotion. It helps the client begin processing the overwhelming news and supports healthy emotional expression.
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