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Difficulty: MediumStandard and Transmission-Based Precautions

A practical nurse is caring for an adult client on a medical-surgical unit who is on contact precautions due to a severe Clostridioides difficile (C. diff) infection. Which of the following actions should the nurse include in the client's care? (Select all that apply)

  1. Wash hands thoroughly with soap and water immediately after removing personal protective equipment.Answer
  2. Don a disposable gown and clean gloves prior to entering the client's room.Answer
  3. Ensure that dedicated medical equipment remains inside the client's room.Answer
  4. D
    Remove gloves, perform hand hygiene, and then take off the contaminated gown.
  5. E
    Complete the initial admission assessment and formulate the client's infection control care plan.
  6. F
    Put on clean gloves first, followed by the disposable gown, when preparing to enter the room.

Answer

The correct actions are to wash hands with soap and water after removing personal protective equipment, don a disposable gown and clean gloves prior to entering the client's room, and ensure that dedicated medical equipment remains inside the client's room.
Clostridioides difficile (C. diff) requires strict contact precautions. This mandates donning a gown and gloves before entering the room to prevent transmission. Dedicated equipment prevents cross-contamination between clients. Additionally, because C. diff spores are highly resistant to alcohol-based hand sanitizers, hand hygiene must be performed using soap and water after doffing all personal protective equipment.

Step-by-Step Solution

1
Identify the specific isolation precautions required for a client with Clostridioides difficile.
C. diff requires contact precautions (gown and gloves) and specific enteric precautions (soap and water for hand hygiene) due to spore formation.
To determine the appropriate personal protective equipment and proper hand hygiene methods.
2
Evaluate the correct sequence for donning and doffing personal protective equipment.
Gowns should be donned before gloves; gloves should be removed before the gown (or simultaneously). Hand hygiene must be performed after all PPE is removed.
To prevent self-contamination and cross-contamination during the application and removal of protective barriers.
3
Differentiate between the LPN/LVN and RN scope of practice regarding client assessment.
The RN must complete the initial admission assessment and formulate the care plan; the LPN/LVN cannot independently perform these tasks but can gather data and implement the plan.
To ensure selected actions remain within the legal scope of practice for the practical nurse.

Key Concept

Standard and Transmission-Based Precautions for Clostridioides difficile
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Topics

Standard and Transmission-Based Precautions

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