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Zorluk: OrtaStandard and Transmission-Based Precautions

A newly admitted client who recently completed a 14-day course of levofloxacin reports experiencing frequent, watery stools and abdominal cramping. The healthcare provider suspects a *Clostridioides difficile* infection. Which of the following infection control measures must the nurse implement? (Select all that apply.)

  1. Clean all high-touch surfaces in the room with a bleach-based sporicidal solution.Cevap
  2. B
    Instruct unlicensed assistive personnel to use alcohol-based sanitizer upon exiting the room.
  3. Put on a protective gown and clean gloves prior to entering the client's environment.Cevap
  4. D
    Transfer the client to an airborne infection isolation room with negative air pressure.
  5. Perform hand hygiene using soap and water after providing direct client care.Cevap
  6. F
    Don a surgical mask and eye protection when standing within three feet of the client's bed.

Cevap

The nurse must clean surfaces with a bleach-based solution, put on a gown and gloves before entering, and perform hand hygiene using soap and water.
Clostridioides difficile requires strict contact enteric precautions. This involves placing the client in a private room and donning a gown and gloves upon entering to prevent the spread of the pathogen. Because this bacteria forms highly resistant spores, standard alcohol-based hand sanitizers are ineffective; staff must physically remove the spores from their hands using friction with soap and water. Furthermore, environmental surfaces must be disinfected with a sporicidal agent, such as a bleach-based solution, to eliminate lingering spores.

Adım Adım Çözüm

1
Identify the suspected pathogen and its mode of transmission.
The client has suspected Clostridioides difficile, which is an enteric pathogen that forms resistant spores and is transmitted via direct or indirect contact.
Determining the transmission route is essential for selecting the appropriate isolation tier.
2
Determine the required isolation precautions for the identified pathogen.
Contact enteric precautions are required, which involve a private room, gown, gloves, handwashing with soap and water, and sporicidal cleaning agents.
Specific protocols are necessary because standard disinfectants and alcohol rubs do not destroy spores.
3
Evaluate each option against the required precautions.
Options involving bleach, gown/gloves on entry, and soap/water hand hygiene correctly align with contact enteric precautions.
Ensures all selected interventions strictly adhere to standard infection control guidelines for spore-forming organisms.

Anahtar Kavram

Contact Enteric Precautions for Spore-Forming Organisms
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