A nurse is caring for a client who has Clostridium difficile (C. difficile). Which of the following actions should the nurse take?

Place the client in a room with negative pressure airﬂow.

Clean hands with soap and water after caring for the client.

Apply a mask on the client when they are outside their room.

Wash hands for 10 seconds after caring for the client.

Answer and Explanation

The Correct Answer is B

Clostridium difficile (C. difficile) is a highly contagious bacteria that can cause diarrhea and colitis 1. To prevent the spread of infection, it is important for the nurse to practice good hand hygiene by washing their hands with soap and water after caring for the client.

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Correct Answer is A

Explanation

A sentinel event is an unexpected event in a healthcare setting that causes or has the potential to cause death, serious physical or psychological injury, or loss of limb or function to a patient1. A client falling out of

bed and fracturing their hip would be considered a sentinel event because it is an unexpected event that resulted in serious physical injury.

A. Wear a surgical mask when within 0.6 m (2 ft) of the client. B. Move the client to a positive airﬂow room. C. Place a surgical mask on the client when they leave their room. D. Remove fresh ﬂowers from the client’s room.

Correct Answer is C

Explanation

Answer: C. Place a surgical mask on the client when they leave their room.

Rationale:

A) Wear a surgical mask when within 0.6 m (2 ft) of the client.
While it is necessary to wear a surgical mask when in close proximity to a client on droplet precautions, the distance specified (0.6 m or 2 ft) is less than the standard recommended distance of 1 meter (3 feet). Therefore, this option is not fully aligned with best practices.

B) Move the client to a positive airflow room.
Positive airflow rooms are typically used for clients with immunosuppression or those who need protection from airborne pathogens, not for those on droplet precautions. This action is not appropriate for a client requiring droplet precautions.

C) Place a surgical mask on the client when they leave their room.
This action is appropriate and essential to minimize the risk of transmission of infectious agents to others when the client is moving outside their isolation area. The client wearing a mask is a key part of droplet precautions.

D) Remove fresh flowers from the client’s room.
While it may be necessary to remove fresh flowers in certain cases (such as for neutropenic clients), this is not specifically related to droplet precautions. Droplet precautions focus primarily on respiratory secretions and do not directly involve the presence of flowers.

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A nurse is caring for a client who has Clostridium difficile (C. difficile). Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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