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Zorluk: OrtaStandard and Transmission-Based Precautions

A licensed practical nurse (LPN) is providing care for a client who has frequent, watery stools and is diagnosed with *Clostridioides difficile* (*C. diff*) infection. Which infection control interventions should the nurse implement? Select all that apply.

  1. Perform hand hygiene using soap and water after removing personal protective equipment.Cevap
  2. Don a clean, single-use gown and clean gloves prior to entering the client's room.Cevap
  3. Clean and disinfect reusable medical equipment with a bleach-based (sporicidal) solution.Cevap
  4. D
    Utilize an alcohol-based hand sanitizer after client care to rapidly eliminate pathogens.
  5. E
    Doff the contaminated gown and gloves in the hallway immediately after exiting the client's room.
  6. F
    Wear a surgical mask and eye protection when entering the room to prevent airborne transmission.

Cevap

The nurse should perform hand hygiene with soap and water, don a gown and gloves before entering the room, and disinfect equipment with a bleach-based solution.
Clostridioides difficile (C. diff) requires strict contact precautions because it is spread through contact with spores in the stool and contaminated environments. The nurse must don a gown and gloves before entering the room to prevent cross-contamination. Because C. diff spores are highly resistant, alcohol-based hand sanitizers are ineffective; the nurse must physically remove the spores from the hands by washing with soap and water after removing PPE. Additionally, any reusable medical equipment must be disinfected with a sporicidal, bleach-based solution to effectively kill the spores.

Adım Adım Çözüm

1
Identify the mode of transmission for the specified pathogen.
Clostridioides difficile (C. diff) is an enteric pathogen that forms resistant spores and is transmitted via direct or indirect contact.
Understanding the pathogen's characteristics determines the specific infection control precautions required.
2
Determine the appropriate isolation precautions.
Contact precautions must be implemented, requiring a clean gown and gloves before entering the client's room.
Gowns and gloves prevent the transfer of spores from the client and environment to the nurse's clothing and hands.
3
Evaluate the correct hand hygiene method.
Hand washing with soap and water must be used instead of alcohol-based hand sanitizers.
Alcohol does not eliminate C. diff spores; the mechanical action of washing with soap and water physically removes them from the hands.
4
Determine the proper sequence and location for doffing PPE.
The gown and gloves must be removed inside the client's room prior to exiting.
Removing PPE inside the room prevents the spread of spores into the hallway and other clean areas of the facility.
5
Identify the correct environmental cleaning agent.
A bleach-based (sporicidal) solution must be used for disinfecting reusable medical equipment.
Standard hospital disinfectants are ineffective against C. diff spores; a sporicidal agent is required for proper decontamination.

Anahtar Kavram

Contact Precautions and Spore-Forming Pathogen Management
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Konular

Standard and Transmission-Based Precautions

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