A nurse is admitting a client who was prescribed antibiotic therapy and now has a Clostridium difficile infection. Which of the following actions should the nurse take?
Place the client in a protective environment.
Disinfect equipment in the client's room daily.
Have the client wear a mask when out of the room.
The Correct Answer is A
Choice A reason: This is incorrect because placing the client in a protective environment is not an action that the nurse should take. A protective environment is used for clients who are immunocompromised and need to be protected from exposure to pathogens. A client with Clostridium difficile infection does not need this type of isolation.
Choice B reason: This is correct because disinfecting equipment in the client's room daily is an action that the nurse should take. Clostridium difficile is a spore-forming bacterium that can survive on surfaces and cause infection if ingested. The nurse should use a bleach-based disinfectant to clean all equipment and surfaces in the client's room daily to prevent transmission.
Choice C reason: This is incorrect because using alcohol hand sanitizer after completing tasks for the client is not an action that the nurse should take. Alcohol hand sanitizer is not effective against Clostridium difficile spores, and can actually increase their spread. The nurse should wash their hands with soap and water after caring for the client, as this can remove the spores from the skin.
Choice D reason: This is incorrect because having the client wear a mask when out of the room is not an action that the nurse should take. Clostridium difficile is not transmited through respiratory droplets, but through fecal-oral route. A mask will not prevent this mode of transmission. The nurse should limit the client's movement outside of the room, and instruct them to wash their hands before and after leaving.
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