Question

Difficulty: EasyStandard and Transmission-Based Precautions

Management of a client diagnosed with an active Clostridioides difficile infection requires specific transmission-based precautions. Which interventions must be included in this client's care? Select all that apply.

  1. Perform hand hygiene using soap and water after removing personal protective equipment.Answer
  2. Don a disposable gown and clean gloves before entering the client's room.Answer
  3. Place the client in a private room with a dedicated commode or bathroom.Answer
  4. D
    Cleanse hands with an alcohol-based hand sanitizer after exiting the room.
  5. E
    Apply a surgical mask before providing direct care to the client.
  6. F
    Delegate the initial assessment of the client's bowel sounds to unlicensed assistive personnel.

Answer

The correct interventions are placing the client in a private room with a dedicated commode, donning a gown and gloves upon entry, and washing hands with soap and water.
Clients with an active Clostridioides difficile infection require strict contact precautions to prevent the spread of the pathogen. This mandates placing the client in a private room with a dedicated bathroom, wearing a gown and gloves when entering the room, and performing hand hygiene specifically with soap and water, as alcohol-based sanitizers do not destroy C. difficile spores.

Step-by-Step Solution

1
Identify the specific pathogen and its mode of transmission.
Clostridioides difficile is transmitted via the fecal-oral route and direct contact with contaminated surfaces, and it produces hardy spores.
Understanding the pathogen dictates which specific isolation precautions are necessary.
2
Select the appropriate transmission-based precautions and hand hygiene method.
Contact precautions (gown, gloves, private room) and strict soap and water hand hygiene are selected.
Contact precautions prevent the physical transfer of the bacteria, while soap and water physically wash away alcohol-resistant spores.

Key Concept

Contact Precautions and Hand Hygiene for C. difficile
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