A registered nurse is directing care for a client who is actively symptomatic with a Clostridioides difficile infection. Which instruction is most appropriate for the nurse to give to the unlicensed assistive personnel (UAP) assigned to help with the client's morning care?
- Perform hand hygiene using only soap and water after removing gloves and leaving the room.Cevap
- BDisinfect the dedicated blood pressure cuff with an alcohol-based wipe at the end of the shift.
- CMake sure the client wears a standard surgical mask if they need to be transported outside the room.
- DAssess the client's perianal skin for any signs of breakdown or irritation after each bowel movement.
Cevap
Perform hand hygiene using only soap and water after removing gloves and leaving the room.
The correct answer identifies the crucial distinction in hand hygiene for spore-forming organisms. Clostridioides difficile spores are not killed by alcohol. Therefore, the mechanical action of washing hands with soap and water is the required method to physically remove the spores from the hands after care.
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Anahtar Kavram
Contact (Enteric) Precautions for spore-forming pathogens and appropriate delegation.
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