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Zorluk: KolayStandard and Transmission-Based Precautions

A client on a gastrointestinal unit is currently being treated for a Clostridioides difficile infection. The practical nurse finishes providing morning care, removes all personal protective equipment, and prepares to exit the room. What is the required method for the nurse to perform hand hygiene in this situation?

  1. Scrub hands with soap and water for at least 20 seconds.Cevap
  2. B
    Apply an alcohol-based foam rub to all hand surfaces until completely dry.
  3. C
    Use an antiseptic chlorhexidine towelette to thoroughly wipe both hands.
  4. D
    Rinse hands under hot running water without a cleansing agent.

Cevap

Scrub hands with soap and water for at least 20 seconds.
Clostridioides difficile produces durable spores that are not destroyed by alcohol-based hand sanitizers. Mechanical friction created by scrubbing with soap and water physically removes these spores from the hands and washes them down the drain, effectively preventing transmission.

Adım Adım Çözüm

1
Identify the specific pathogen affecting the client.
The pathogen is Clostridioides difficile (C. diff), which is a spore-forming bacterium.
Different pathogens dictate specific infection control interventions and precautions.
2
Determine the effectiveness of standard hand hygiene methods against spores.
Alcohol-based hand rubs do not kill or deactivate C. diff spores.
Spores have a tough, protective outer coating that resists chemical destruction by alcohol.
3
Select the appropriate hand hygiene technique.
Soap, water, and mechanical friction must be used to physically wash the spores down the sink drain.
This is the only CDC-approved method for hand hygiene when caring for clients with C. diff.

Anahtar Kavram

Clostridioides difficile is a spore-forming bacterium that resists alcohol-based hand sanitizers; therefore, mechanical friction with soap and water is required to physically remove the spores from the hands.
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