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Zorluk: KolayStandard and Transmission-Based Precautions

A nurse is preparing to provide morning care for a client admitted with frequent, watery stools who has just tested positive for Clostridioides difficile. Which of the following infection control interventions should the nurse implement? Select all that apply.

  1. Don a disposable gown upon entering the client's room.Cevap
  2. B
    Wear an N95 respirator mask while assisting the client with a bath.
  3. Put on clean gloves before touching the client or the client's intact skin.Cevap
  4. Perform hand hygiene with soap and water immediately after removing gloves.Cevap
  5. E
    Delegate the initial assessment of the client's perineal skin integrity to the unlicensed assistive personnel.
  6. F
    Sanitize hands using an alcohol-based hand rub upon exiting the room.

Cevap

The nurse must don a disposable gown upon entering the room, put on clean gloves prior to client contact, and perform hand hygiene exclusively with soap and water.
Clostridioides difficile is highly contagious and spreads through direct contact. It requires strictly enforced contact precautions, which include donning a gown and gloves upon entering the room to protect the nurse's clothing and skin. Furthermore, because C. difficile forms hardy spores that are resistant to the bactericidal effects of alcohol, nurses must perform hand hygiene with soap and water to mechanically wash the spores away.

Adım Adım Çözüm

1
Identify the primary transmission route and characteristics for Clostridioides difficile (C. diff).
C. diff is transmitted via the fecal-oral route through direct contact and produces highly resistant spores.
Understanding the transmission route and the nature of the pathogen determines the correct isolation precautions to implement.
2
Determine the appropriate isolation category and required personal protective equipment (PPE).
Contact precautions are required, which mandate the use of a gown and gloves for all interactions involving contact with the client or their environment.
Contact precautions prevent the physical transfer of the pathogen to healthcare workers and other clients.
3
Select the correct method for hand hygiene specific to this spore-forming pathogen.
Handwashing with soap and water must be used instead of alcohol-based hand rubs.
C. diff spores are not killed by alcohol; the friction from soap and water is necessary to mechanically wash the spores down the drain.
4
Evaluate the appropriateness of delegating care tasks.
The initial assessment of skin integrity must be performed by the registered nurse, not delegated to an unlicensed assistive personnel (UAP).
Assessment is a core nursing function requiring clinical judgment and cannot legally be delegated.

Anahtar Kavram

Clients with Clostridioides difficile require strict contact precautions (gown and gloves) and mechanical handwashing with soap and water, as alcohol-based hand rubs do not destroy the bacterial spores.
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Standard and Transmission-Based Precautions

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