Question

Difficulty: MediumStandard and Transmission-Based Precautions

A practical nurse obtains a liquid stool sample from a client who is isolated for a severe Clostridioides difficile infection. The nurse needs to prepare the sample for immediate transport to the microbiology laboratory. Which action demonstrates strict adherence to standard and transmission-based precautions?

  1. A
    Wiping the outside of the specimen container with an alcohol-based sanitizing wipe before labeling it at the nurses' station.
  2. Placing the securely sealed specimen container into a biohazard transport bag while still inside the client's room.Answer
  3. C
    Transporting the specimen container to the laboratory while wearing a clean isolation gown and gloves.
  4. D
    Double-bagging the specimen with the assistance of an unlicensed assistive personnel (UAP) standing in the hallway.

Answer

The correct action is to place the securely sealed specimen container into a biohazard transport bag while still inside the client's room.
To prevent environmental contamination, all biological specimens must be placed inside a leak-proof biohazard bag at the point of origin, which is inside the client's room. This ensures that the outside of the transport bag remains completely clean, allowing the nurse to handle it safely with bare, washed hands during transport to the laboratory.

Step-by-Step Solution

1
Identify the pathogen and its specific transmission risks.
Clostridioides difficile is a spore-forming bacterium spread via contact. Spores are highly resilient and are not killed by alcohol.
Determines the necessary environmental and chemical precautions required for safe handling.
2
Determine the correct procedure for handling hazardous biological specimens.
Specimens must be secured in a secondary container (biohazard bag) to prevent leakage or contamination of the transport environment.
Standard precautions mandate containing all potentially infectious materials during transit.
3
Evaluate the safest location for packaging the specimen.
The specimen must be placed into the biohazard bag inside the client's room before crossing the threshold.
Packaging the specimen at the point of origin prevents carrying a contaminated primary container through clean hospital areas.
4
Review the distractors for safety violations.
Wearing PPE in hallways, using alcohol on spores, and moving unbagged items to a nurses' station are severe infection control breaches.
Confirms the selection of the correct, safe action.

Key Concept

Safe handling and transport of biohazardous specimens under contact precautions.
Estimated Time:1m 15s
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