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Zorluk: KolayStandard and Transmission-Based Precautions

A practical nurse is preparing to provide routine morning care for a client who is diagnosed with an active Clostridioides difficile infection. Which of the following infection control measures should the nurse implement? Select all that apply.

  1. Don a disposable gown before entering the client's roomCevap
  2. Wear clean gloves when handling the client's bed linensCevap
  3. Wash hands thoroughly with soap and water upon exiting the roomCevap
  4. D
    Use an alcohol-based hand sanitizer immediately after removing personal protective equipment
  5. E
    Place the client in a negative air pressure isolation room

Cevap

The nurse should don a disposable gown before entering, wear clean gloves when handling linens, and wash hands with soap and water upon exiting.
Clostridioides difficile is transmitted via contact and produces hardy spores. Therefore, the nurse must implement contact precautions, which include wearing a gown and gloves upon room entry and for all care. Most importantly, hand hygiene must be performed using soap and water to physically rinse the spores away, as alcohol-based sanitizers are completely ineffective against them.

Adım Adım Çözüm

1
Identify the pathogen and its mode of transmission.
Clostridioides difficile is a spore-forming bacterium transmitted through direct contact.
Understanding the pathogen dictates the specific isolation precautions required.
2
Select the appropriate personal protective equipment.
Contact precautions mandate the use of a gown and gloves when entering the room and providing care.
This prevents the transfer of the microorganism to the nurse's uniform and hands.
3
Determine the correct hand hygiene protocol.
Handwashing with soap and water is required.
Alcohol-based sanitizers are ineffective against spores; friction from washing physically removes them from the hands.

Anahtar Kavram

Contact precautions and specific hand hygiene requirements for spore-forming pathogens.
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