An elderly client with a recent positive stool culture for *Clostridioides difficile* is experiencing frequent episodes of liquid stool. The client is acutely confused and repeatedly attempts to pull on their peripheral intravenous (IV) catheter. Which action by the practical nurse (PN) is most appropriate?
- Put on a disposable gown and gloves before room entry, perform hand hygiene with soap and water after care, and apply a stockinette bandage to conceal the IV site.Cevap
- BRequest an unlicensed assistive personnel (UAP) to assess the client's perianal skin integrity while assisting with the incontinent care.
- CApply soft wrist restraints to prevent IV dislodgement, then cleanse hands using an alcohol-based sanitizer after leaving the room.
- DRemove the contaminated gloves first, then take off the isolation gown in the hallway to prevent aerosolizing spores inside the client's room.
Cevap
The correct action is to put on a gown and gloves before entering the room, wash hands with soap and water after providing care, and use a stockinette to hide the IV site.
The correct answer addresses both transmission-based precautions and client safety simultaneously. Clostridioides difficile requires contact precautions, meaning a gown and gloves must be donned prior to entry. Furthermore, hand hygiene must be performed with soap and water, as alcohol-based hand sanitizers are ineffective against C. difficile spores. Finally, applying a stockinette bandage to conceal the IV site is an excellent, non-restrictive alternative that protects the line without unnecessarily restraining a confused client.
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Anahtar Kavram
Contact precautions for Clostridioides difficile require soap and water for hand hygiene, all PPE must be doffed inside the client room, and less restrictive safety measures must precede the use of restraints.