A nurse is caring for a client who has a diagnosis of Clostridium Difficile and is placed on constant precautions. Which of the following actions should the nurse take?
Remove protective gown before removing gloves.
Shake bed linens before placing them in a linen bag.
Use an electronic thermometer to take the client's temperature.
Remove protective gloves when leaving the client's room.
The Correct Answer is A
- Remove protective gown before removing gloves.
When caring for a client with Clostridium Difficile, it is important to follow strict contact precautions to prevent the spread of the bacteria. The nurse should remove the protective gown before removing gloves to avoid contaminating the gown with any bacteria that may be on the gloves. This helps to minimize the risk of spreading the bacteria to other clients or healthcare workers.
- Shake bed linens before placing them in a linen bag.
Shaking bed linens can cause any bacteria that may be on them to become airborne, increasing the risk of spreading the bacteria to other surfaces. Instead, bed linens should be rolled up and placed directly into a linen bag without shaking them.
- Use an electronic thermometer to take the client's temperature.
An electronic thermometer is preferred when taking the temperature of a client with Clostridium Difficile because it can be easily disinfected between uses, reducing the risk of spreading the bacteria.
- Remove protective gloves when leaving the client's room.
Protective gloves should be removed before leaving the client's room to avoid contaminating other surfaces or spreading the bacteria to other clients or healthcare workers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
Urinary incontinence can lead to skin irritation and breakdown if the skin is not properly cleaned 1. Using a pH-balanced cleanser can help maintain the skin’s natural acidity and prevent irritation.
Correct Answer is A
Explanation
The client is likely experiencing the acute illness stage of infection, which is characterized by the appearance of specific signs and symptoms of the disease. During this stage, the individual may feel ill and exhibit symptoms such as sneezing, productive cough, muscle aches, headache, and fever.
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