Question

Difficulty: EasyStandard and Transmission-Based Precautions

A nurse is caring for a client who is admitted with a confirmed Clostridioides difficile (C. diff) infection. Which of the following infection control interventions should the nurse implement? Select all that apply.

  1. Wash hands with soap and water upon exiting the client's room.Answer
  2. Don a clean gown and gloves prior to entering the client's room.Answer
  3. C
    Use an alcohol-based hand sanitizer immediately after removing gloves.
  4. D
    Place the client in a negative-pressure isolation room.
  5. Dedicate reusable medical equipment, such as a blood pressure cuff, to this client.Answer
  6. F
    Wear an N95 particulate respirator when providing direct care.

Answer

The nurse should wash hands with soap and water upon exiting, don a gown and gloves prior to entering, and dedicate reusable medical equipment to the client.
Clostridioides difficile is a spore-forming bacterium that requires strict contact precautions. Proper protocol includes donning a clean gown and gloves before entering the room to prevent the spread of the pathogen. Hand hygiene must be performed using soap and water rather than alcohol-based sanitizers, as alcohol does not destroy the bacterial spores. Additionally, to prevent cross-contamination, the nurse must dedicate reusable medical equipment exclusively to the client.

Step-by-Step Solution

1
Identify the mode of transmission for Clostridioides difficile.
C. diff is transmitted via the fecal-oral route through direct contact with the client or contaminated surfaces.
Understanding the transmission route dictates the appropriate category of isolation precautions.
2
Determine the required transmission-based precautions.
Contact precautions are necessary, which include wearing a gown and gloves and dedicating medical equipment to the client.
These measures create a barrier that prevents the transfer of the pathogen to the nurse's clothing or other clients.
3
Identify specific hand hygiene modifications for spore-forming organisms.
The nurse must use soap, water, and physical friction for hand hygiene instead of alcohol-based sanitizers.
Alcohol-based hand rubs are ineffective at eradicating C. diff spores.

Key Concept

Contact precautions and enteric hand hygiene protocols for spore-forming organisms.
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