A nurse is caring for a client who is at 36 weeks of gestation and is undergoing a nonstress test (NST). The test is nonreactive. Which of the following interventions should the nurse suggest based on the findings?

A. "Sarcoptes scabiei." Sarcoptes scabiei is the parasitic mite that causes scabies, a contagious skin condition. While scabies is highly transmissible through direct contact, it is not a nationally notifiable disease and does not require mandatory reporting to the state health department.
B. "Impetigo contagiosa." Impetigo is a bacterial skin infection commonly caused by Staphylococcus aureus or Streptococcus pyogenes. Although it is contagious, it is not classified as a reportable disease at the national level, though some local jurisdictions may require reporting in outbreak situations.
C. "Neisseria gonorrhoeae." Gonorrhea is a sexually transmitted infection caused by Neisseria gonorrhoeae and is a nationally notifiable disease. Healthcare providers are required to report cases to public health authorities for surveillance, tracking, and prevention efforts, as untreated gonorrhea can lead to serious complications such as pelvic inflammatory disease, infertility, and neonatal infections.
D. "Human papillomavirus." Human papillomavirus (HPV) is the most common sexually transmitted infection, with multiple strains that can cause genital warts and cervical cancer. Although HPV is a significant public health concern, individual cases are not typically required to be reported to state health departments unless part of a specific surveillance program.

A. "Droplet precautions require that I wear a gown and gloves when providing client care." Droplet precautions require wearing a surgical mask when within three feet of the client, but gowns and gloves are only needed if direct contact with secretions is expected. Incorrect PPE use can lead to inadequate protection or unnecessary resource use. Understanding specific precaution types ensures proper infection control.
B. "Following a blood spill, I should use a bleach solution with a ratio of 1 to 20." Blood spills should be cleaned using a 1:10 bleach solution, not 1:20, to ensure effective decontamination. A stronger bleach concentration eliminates bloodborne pathogens like HIV and hepatitis B. The solution should be applied to the spill and left to sit before wiping. Using an incorrect dilution reduces disinfection effectiveness.
C. "Soiled dressings should be placed in a biohazard trash receptacle." Soiled dressings contain bodily fluids and potential pathogens, so they must be disposed of in a biohazard waste container. Regular trash does not provide adequate containment and increases the risk of contamination. Proper disposal protects healthcare workers and the environment from infection. Adhering to these protocols ensures compliance with infection control standards.
D. "For a client who has Clostridium difficile, I will cleanse my hands with an alcohol-based rub." Alcohol-based hand sanitizers are ineffective against Clostridium difficile spores, requiring handwashing with soap and water. The mechanical action of scrubbing is necessary to remove spores from the hands. Proper hand hygiene reduces transmission risks in healthcare settings. Infection control protocols emphasize soap and water for C. difficile prevention.