Question

Difficulty: EasyStandard and Transmission-Based Precautions

An adult client is admitted to the infectious disease unit with severe diarrhea caused by Clostridioides difficile. Which of the following actions should the practical nurse take? Select all that apply.

  1. Wash hands thoroughly with soap and water after removing personal protective equipment.Answer
  2. Put on a disposable gown and clean gloves prior to entering the client's room.Answer
  3. C
    Apply an alcohol-based hand sanitizer immediately after exiting the room.
  4. D
    Wear a fit-tested N95 respirator when delivering the client's meal tray.
  5. Dedicate reusable medical equipment, such as a stethoscope, exclusively to this client.Answer

Answer

The correct actions include washing hands with soap and water, wearing a gown and gloves before entering the room, and dedicating medical equipment to the client.
Clients with Clostridioides difficile require strict contact precautions to prevent the spread of infectious spores. This mandates donning a gown and gloves before room entry and dedicating reusable equipment to the client. Because these spores are resistant to alcohol, hand hygiene must be performed using soap, water, and physical friction.

Step-by-Step Solution

1
Identify the mode of transmission for Clostridioides difficile.
It is transmitted via the fecal-oral route and requires contact precautions.
Determining the transmission route dictates the required infection control measures.
2
Determine the appropriate personal protective equipment (PPE) and hygiene protocols.
Gowns and gloves are needed for entry. Handwashing with soap and water is required because alcohol does not kill the spores.
Applying the correct protocols prevents the spread of infection to staff and other clients.
3
Select the interventions that align with standard and contact precautions.
Handwashing, dedicating equipment, and wearing a gown and gloves are selected.
These specific actions represent safe and effective care for a client with this infection.

Key Concept

Contact precautions and proper hand hygiene for spore-forming bacteria.
Rate this question