A client on a medical-surgical unit is experiencing frequent, watery stools and has just tested positive for a Clostridioides difficile (C. diff) infection. Which transmission-based precaution measures must the practical nurse implement? Select all that apply.
- Don a disposable gown and clean gloves prior to entering the client's room.Answer
- Wash hands thoroughly with soap and water after doffing personal protective equipment.Answer
- Ensure that a dedicated stethoscope and blood pressure cuff remain in the client's room.Answer
- DUtilize an alcohol-based hand sanitizer immediately after exiting the room to ensure rapid decontamination.
- EPlace the client in a negative-pressure isolation room to prevent airborne transmission.
Answer
The correct interventions for a client with C. diff include wearing a gown and gloves upon entry, using dedicated medical equipment, and washing hands with soap and water.
Clostridioides difficile requires strict contact precautions because it spreads via contact with contaminated feces and environmental surfaces. The nurse must wear a gown and gloves to prevent contamination of their uniform and hands. Additionally, because the bacteria form highly resistant spores, dedicated equipment must be kept in the room to prevent cross-contamination, and hands must be washed with soap and water because alcohol-based sanitizers cannot kill the spores.
Step-by-Step Solution
Key Concept
Contact Precautions and Spore-Forming Pathogen Hand Hygiene