A nurse is disinfecting the room of a client who has a Clostridium difficultiesinfection. Which of the following solutions should the nurse use?

Correct answer: C

A. A client who has a venous stasis ulcer: This is less likely to cause a false positive result. While ulcers can bleed, the fecal occult blood test is designed to detect small amounts of blood in the stool, not necessarily blood from other sources like venous stasis ulcers.

B. A client who has peripheral hematomas: Peripheral hematomas are typically not related to the fecal occult blood test. They generally wouldn’t affect the results unless there was significant bleeding or if the hematomas were a result of an underlying bleeding disorder.

C. A client who underwent a barium swallow study: This is the most likely to cause a false positive result. Barium used in the study can sometimes appear as a false positive on the test due to its interference with the chemical reactions used to detect blood.

D. A client who takes an iron supplement: Iron supplements can actually cause a false negative result rather than a false positive because they may darken the stool and mask the presence of blood.

The correct answer is choice B. Palliative care is a type of care that improves the quality of life of patients and their families who are facing problems associated with life-threatening illness.

It prevents and relieves suffering through the early identification, correct assessment and treatment of pain and other problems, whether physical, psychosocial or spiritual.

Palliative care also provides emotional support to the patients and their families during the illness.

Therefore, choice B indicates an understanding of the teaching.

Choice A is wrong because it contradicts the goal of palliative care to address the spiritual needs of the patients and their families.

Spiritual advisors can help patients cope with their illness and find meaning and purpose in their situation.

Choice C is wrong because it denies the patient the opportunity to express their feelings and concerns about their illness.

Palliative care involves open and honest communication between the patients, their families and the health care team.

Discussing the illness can help patients make informed decisions about their care and prepare for the end of life.

Choice D is wrong because it goes against the principle of palliative care to respect the patient’s wishes and preferences regarding their treatment.

Resuscitation is a procedure that attempts to revive someone from apparent death or unconsciousness.

Some patients may not want resuscitation if they have a terminal illness or a poor quality of life.

They may have an advance directive or a living will that states their preferences for end-of-life care.