A nurse is caring for a client.
Which of the following actions should the nurse take? Select all that apply.
Wear a protective gown while caring for the client.
Place the client in a private room.
Wear an N-95 respirator while caring for the client.
Place the client in a negative pressure room.
Place a mask on the client when they leave their room.
Correct Answer : A,B,E
The correct answers are a. Wear a protective gown while caring for the client, b. Place the client in a private room, and e. Place a mask on the client when they leave their room.
Choice A rationale: Clostridium difficile (C. diff) is primarily spread through contact with feces, surfaces, or objects contaminated with the bacteria. Healthcare workers can inadvertently spread the bacteria to other patients if proper contact precautions are not followed. Wearing a protective gown while caring for a client with C. diff helps to prevent the spread of bacteria and maintain proper infection control measures.
Choice B rationale: Isolation precautions are recommended for clients with C. diff to prevent the spread of the bacteria to other patients. Placing the client in a private room can help to achieve isolation and minimize the risk of cross-transmission.
Choice C rationale (Incorrect choice): While wearing personal protective equipment (PPE) is crucial when caring for clients with infectious diseases, an N-95 respirator is not necessary for C. diff. The bacteria is not airborne, and its transmission primarily occurs through contact with contaminated surfaces or objects. Standard surgical masks are sufficient for healthcare workers when caring for clients with C. diff, as they can protect against droplet transmission.
Choice D rationale (Incorrect choice): A negative pressure room is not required for clients with C. diff, as the bacteria is not airborne. Negative pressure rooms are typically used for patients with airborne diseases, such as tuberculosis, to prevent the spread of infectious particles through the air.
Choice E rationale: If a client with C. diff needs to leave their room for any reason, placing a mask on the client can help minimize the risk of droplet transmission. This precautionary measure can reduce the potential spread of bacteria to other areas within the healthcare facility.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Ensuring that the television is on is not a recommended action when providing discharge teaching for an adolescent with a cognitive disorder and their parents. Television noise can be distracting and may hinder effective communication. The focus should be on clear, concise, and tailored communication to address the patient's and family's needs.
Choice B rationale:
Using short directive statements is a suitable approach when teaching a patient with a cognitive disorder and their parents. Patients with cognitive disorders may have difficulty processing complex information, so using concise and straightforward language can enhance understanding. It is essential to adapt teaching strategies to the individual's needs and abilities.
Choice C rationale:
Including medical slang in the teaching is not appropriate, as it can confuse and alienate patients and their families. The goal of discharge teaching is to ensure that the information provided is clear, easily understood, and accessible to the patient and their family. Using medical jargon or slang may hinder this objective.
Choice D rationale:
Including abstract imagery is not recommended when teaching a patient with a cognitive disorder. Abstract imagery can be challenging to understand, especially for individuals with cognitive impairments. Teaching materials should be concrete, straightforward, and tailored to the patient's cognitive abilities and comprehension levels.
Correct Answer is A
Explanation
Choice A rationale:
In this scenario, the nurse is gathering evidence-based practice on catheter-associated urinary tract infections (CAUTI). By collecting evidence-based information and research on this topic, the nurse is acting in the role of a researcher. Research in healthcare is essential to stay current with best practices, guidelines, and recommendations, and it helps inform clinical decision-making.
Choice B rationale:
A nurse manager is responsible for overseeing nursing staff, unit operations, and ensuring that the unit operates efficiently and safely. While a nurse manager may use evidence-based information to guide decisions, the primary role described in this scenario is that of a researcher, as the nurse is focused on gathering evidence-based practice on a specific topic.
Choice C rationale:
An educator's primary role is to teach and educate others, such as patients, families, or fellow healthcare professionals. While education often involves the use of evidence-based information, in this scenario, the nurse is primarily focused on gathering evidence rather than directly educating others.
Choice D rationale:
A case manager is responsible for coordinating and managing a patient's care, often involving multiple aspects of healthcare and social services. While case managers may use evidence-based information in their decision-making, the primary role described in this scenario is that of a researcher, as the nurse is focused on gathering evidence-based practice related to CAUTI, not managing a specific patient's case.
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