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Zorluk: KolayStandard and Transmission-Based Precautions

While reviewing the care plan for a newly admitted client with a confirmed *Clostridioides difficile* (C. diff) infection, the practical nurse notes that the client is on contact precautions. Which of the following hand hygiene practices must the nurse follow when exiting this client's room?

  1. Washing hands thoroughly with soap and waterCevap
  2. B
    Cleansing hands with an alcohol-based hand sanitizer
  3. C
    Using an antimicrobial hand wipe
  4. D
    Washing hands with soap and water only if they are visibly soiled

Cevap

Washing hands thoroughly with soap and water
Washing hands with soap and water is required because *Clostridioides difficile* forms spores that are highly resistant to the bactericidal effects of alcohol-based hand sanitizers. The mechanical friction of washing with soap and water physically removes the spores from the nurse's hands, preventing cross-contamination.

Adım Adım Çözüm

1
Identify the pathogen and its unique characteristics.
The client has a C. diff infection, which produces spores.
Different pathogens require specific infection control measures based on how they spread and their resistance to cleaning agents.
2
Determine the appropriate hand hygiene method for spores.
Spores are highly resistant to the bactericidal effects of alcohol.
Because alcohol cannot destroy the spores, a mechanical method is required to physically remove them from the skin.
3
Select the correct nursing action.
The nurse must use soap and water for hand hygiene.
The friction of scrubbing with soap and rinsing with water is the only effective way to wash spores down the drain.

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Standard and Transmission-Based Precautions
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Standard and Transmission-Based Precautions

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