A nurse is planning care for a client who has a Clostridium difficile infection. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

Place the client in contact Isolation.

Prepare the client for a colonoscopy.

Administer docusate sodium 500 mg daily.

Use a bleach solution to clean the client's bedside table.

Use hand sanitizer immediately after caring for the client.

Answer and Explanation

Correct Answer : A,D

A. Place the client in contact isolation. Contact isolation helps prevent the spread of C. difficile to other patients and staff by requiring the use of gowns and gloves when entering the patient's room.
B. Prepare the client for a colonoscopy. This is not typically part of the standard care plan for C. difficile infection. Colonoscopies are not indicated for diagnosing or managing C. difficile.
C. Administer docusate sodium 500 mg daily. Docusate sodium is a stool softener and is not appropriate for treating C. difficile, which causes diarrhea.
D. Use a bleach solution to clean the client's bedside table. Bleach is effective at killing C. difficile spores, which are resistant to many other cleaning agents.
E. Use hand sanitizer immediately after caring for the client. Hand sanitizers are not effective against C. difficile spores. Handwashing with soap and water is necessary.

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Correct Answer is C

Explanation

A. Fresh vegetables Fresh vegetables are generally not associated with triggering migraines.
B. Frozen yogurt While some people may have individual triggers, frozen yogurt is not a common migraine trigger.
C. Red wine: Red wine contains tyramine, which is known to trigger migraines in many people.
D. Orange juice Orange juice is not commonly associated with triggering migraines.

A. Delegating client care tasks to an assistive personnel B. Completing an incident report for a medication error C. Adhering to the client's refusal of treatment D. Completing required continuing education courses

Correct Answer is C

Explanation

A. Delegating client care tasks to an assistive personnel Delegation is part of nursing management, not specifically advocacy.
B. Completing an incident report for a medication error This is part of ensuring safety and quality but is not directly related to advocacy.
C. Adhering to the client's refusal of treatment Advocacy involves respecting the client's rights and choices, including the right to refuse treatment.
D. Completing required continuing education courses This is related to professional development, not specifically client advocacy.

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A nurse is planning care for a client who has a Clostridium difficile infection. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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