The student nurse is caring for a patient newly diagnosed with Clostridium Difficile (C-Diff). The student requires more education when they make which statement?
Place the patient in contact isolation.
Personal protective equipment (PPE) should be discarded inside the room after providing care.
Use alcohol-based hand sanitizer instead of soap and water.
Wear gloves and gown when providing care.
The Correct Answer is C
Choice A reason: This statement is correct because patients with C-Diff must be placed in contact isolation. C-Diff spores are highly contagious and can survive on surfaces for long periods. Contact isolation prevents transmission by requiring healthcare workers to use appropriate protective measures and limit exposure to other patients.
Choice B reason: This statement is correct because PPE should be discarded inside the patient’s room to prevent contamination of the hallway or other patient areas. Removing and disposing of PPE before leaving the room ensures that spores are contained and not spread throughout the facility.
Choice C reason: This statement indicates the student nurse needs further education. Alcohol-based hand sanitizers are ineffective against C-Diff spores. The correct practice is to wash hands thoroughly with soap and water after patient contact. Soap and water physically remove spores from the hands, whereas alcohol does not kill them. This misunderstanding could lead to the spread of infection.
Choice D reason: This statement is correct because wearing gloves and gowns when providing care is essential for preventing transmission of C-Diff. Spores can contaminate clothing and skin, so protective barriers are necessary to reduce the risk of spreading infection to other patients or surfaces.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: The radial pulse is palpated immediately distal to the antecubital space, along the thumb side of the wrist. It is commonly used for routine pulse assessment because it is easily accessible and provides reliable information about heart rate and rhythm.
Choice B reason: The apical pulse is located at the 5th intercostal space, mid-clavicular line, and requires auscultation with a stethoscope. It is not palpated distal to the antecubital space, so this option is incorrect.
Choice C reason: The femoral pulse is located in the groin area, near the femoral artery. It is used for assessing circulation in the lower extremities but is not related to the antecubital space.
Choice D reason: The carotid pulse is located in the neck, along the carotid artery. It is used in emergency situations to assess circulation but is not palpated near the antecubital space.
Correct Answer is D
Explanation
Choice A reason: Expressing personal discomfort does not address the patient’s need and could come across as dismissive or unprofessional. The focus should remain on meeting the patient’s religious and cultural needs.
Choice B reason: Checking with the charge nurse may delay the patient’s request and does not demonstrate initiative or respect for the patient’s immediate needs. It is appropriate to consult if needed, but a more proactive solution is preferred.
Choice C reason: Stating personal religious beliefs is irrelevant to the patient’s request and does not assist in providing culturally sensitive care. It may inadvertently dismiss the patient’s needs.
Choice D reason: This response acknowledges the patient’s request and shows a commitment to meeting the patient’s cultural and spiritual needs by finding someone who can read the Torah. It demonstrates respect, advocacy, and patient-centered care.
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