Which statement by the nursing assistant indicates the need for further teaching regarding infection control measures for patients with Clostridioides difficile (C. diff)?
"It is important that I use soap and water to wash my hands when working with patients with C. diff
"I need to rub my hands together to remove the C. diff spores."
"Alcohol-based hand sanitizers are most effective for patients with C. diff
"need to make sure the family members wash their hands often."
The Correct Answer is C
A. Using soap and water is the correct method for hand hygiene when caring for patients with C. diff, as the spores are not effectively removed by alcohol-based sanitizers.
B. Rubbing hands together to remove C. diff spores is the correct technique when washing with soap and water.
C. Alcohol-based hand sanitizers are not effective in removing C. diff spores. Soap and water are necessary to physically remove the spores from the hands.
D. Hand hygiene for family members is important in preventing the spread of infection, and this statement reflects proper infection control practices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Anorexia nervosa is characterized by a distorted body image, where individuals often perceive themselves as overweight, despite being underweight. The statement "I know I am skinny" reflects the client's awareness of their thinness, but in the context of anorexia nervosa, this is often associated with a skewed perception and excessive concern with body weight.
B. Excessive energy might be seen in some clients with anorexia nervosa due to the body's stress response or the effects of malnutrition, but it is not a defining feature.
C. Spending time searching for new recipes may reflect an interest in food, but it doesn’t directly indicate anorexia nervosa. In fact, many people with anorexia may avoid food-related activities due to anxiety or fear of eating.
D. Enjoying wearing form-fitting clothes may indicate a desire to show off one's body, but it does not directly reflect the core symptoms of anorexia nervosa, where individuals often avoid clothing that reveals their body shape.
Correct Answer is C
Explanation
A. HIV infection can cause dementia, but it typically presents with apathy, social withdrawal, and motor dysfunction—not parkinsonian features with fluctuating cognition.
B. Prion disease (such as Creutzfeldt-Jakob disease) presents with rapid progression of dementia, myoclonus, and ataxia, but not typically with parkinsonian features or fluctuating cognition.
C. Lewy body disease is characterized by fluctuating cognition, visual hallucinations, and parkinsonian motor symptoms. These features strongly suggest dementia with Lewy bodies, especially in the context of stroke or neurodegenerative changes.
D. Frontotemporal lobar degeneration primarily affects behavior, personality, and language. Parkinsonian symptoms and fluctuating cognition are not hallmark features.
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