Question

Difficulty: MediumStandard and Transmission-Based Precautions

A licensed practical nurse is preparing to provide care for a client who is on contact precautions due to an active Clostridioides difficile (C. diff) infection. Which of the following actions is the most appropriate for the nurse to take?

  1. Performing hand hygiene using soap and water after removing the isolation gown and gloves inside the client's room.Answer
  2. B
    Removing the contaminated gown and gloves in the unit hallway after exiting the room to prevent recontamination.
  3. C
    Accepting the assignment to create the client's initial isolation care plan upon admission to the unit.
  4. D
    Posting a sign on the client's door that explicitly states the infectious diagnosis to alert all visitors and staff.

Answer

Performing hand hygiene using soap and water after removing the isolation gown and gloves inside the client's room.
For a client with a Clostridioides difficile infection, strict contact precautions are required. C. diff spores are resistant to alcohol-based hand sanitizers, making handwashing with soap and water mandatory. Furthermore, all personal protective equipment (PPE) must be removed inside the client's room before exiting to prevent spreading the pathogen to the clean hospital environment.

Step-by-Step Solution

1
Identify the type of precautions required for the specific pathogen.
Clostridioides difficile requires contact precautions.
C. diff is spread through direct contact with contaminated feces or environmental surfaces.
2
Determine the appropriate hand hygiene method for this pathogen.
Hand hygiene must be performed with soap and water, not an alcohol-based hand rub.
C. diff produces spores that are resistant to the bactericidal effects of alcohol-based hand sanitizers; physical friction with soap and water is required to physically remove them.
3
Determine the correct location for removing personal protective equipment (PPE).
PPE must be removed inside the client's room before exiting.
Doffing PPE inside the room prevents the transfer of infectious microorganisms to the clean hospital environment, such as the hallway.

Key Concept

Standard and Transmission-Based Precautions
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