A home health nurse is caring for a client who has a Clostridium difficile infection. Which of the following actions should the nurse take?
Clean the client's bathroom with a diluted bleach solution.
Instruct the client to avoid the use of probiotics.
Obtain a surgical mask for the client to wear when away from home.
Use an alcohol-based hand sanitizer following care.
The Correct Answer is A
Clostridium difficile is a highly contagious bacterium that can survive on surfaces for long periods of time. Cleaning the bathroom with a diluted bleach solution is an effective way to kill the bacteria and prevent its spread. The nurse should also instruct the client to wash their hands frequently with soap and water, as alcohol-based hand sanitizers are not effective against Clostridium difficile.
It is not necessary for the client to wear a surgical mask when away from home, as the bacteria is primarily spread through contact with contaminated surfaces. The use of probiotics may be beneficial in restoring the balance of gut bacteria in some cases, but there is limited evidence to support its use in preventing or treating Clostridium difficile infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
When working with a family following a client's diagnosis of heart disease, the first action the nurse should take is to ask family members about the impact of the disease on relationships within the family.
This will help the nurse to assess the emotional and psychological impact of the diagnosis on the family members and identify any areas of stress or concern that may require additional support or resources. It will also help the nurse to develop a holistic care plan that addresses the needs of both the client and the family.
Once the nurse has assessed the family's needs and concerns, she can then proceed to offer to accompany the client and the client's partner during health care provider visits, assist the client and the client's partner with finding an affordable exercise program, and discuss the benefits of eating a well-balanced diet with the client's family as needed.
Correct Answer is C
Explanation
This indicates that the client may have internal bleeding, which is a life-threatening condition that requires immediate medical attention. The nurse should provide supportive care, such as administering oxygen, and arrange for rapid transport to a trauma center.
The client with superficial partial-thickness burn injuries over 5% of his body may require medical attention, but this is not immediately life-threatening.
The client who is ambulatory and exhibits manic behavior may require psychological support, but this is not a priority in the acute phase of a traumatic event.
The client who has a femur fracture with a 2+ pedal pulse may require immobilization and pain management, but this is also not a priority in the acute phase of a traumatic event.
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