A nurse is planning care for a client who has manifestations of a Clostridium difficile (C. difficile) infection. Which of the following actions should the nurse plan to take?
Use an alcohol-based agent to perform hand hygiene when caring for the client.
Obtain a blood specimen to test for C. difficile.
Place the client on contact precautions.
Place a surgical mask on the client during transport.
The Correct Answer is C
A. Alcohol-based hand sanitizers are not effective against C. difficile spores; hand hygiene should be performed using soap and water to effectively remove the spores.
B. Testing for C. difficile typically involves stool samples, not blood specimens, making this option inappropriate for confirming the infection.
C. Placing the client on contact precautions is essential to prevent the spread of C. difficile, as it is highly contagious and can be transmitted via surfaces and direct contact.
D. A surgical mask is not necessary for clients with C. difficile unless they have respiratory symptoms; the primary concern is preventing contact transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Requesting a prescription for an oral formulation of the medication is the appropriate action, as sublingual medications are designed to dissolve under the tongue and bypass the gastrointestinal tract, which is not feasible with an NG tube in place.
B. Administering the medication under the client's tongue is incorrect because the NG tube prevents effective absorption through the sublingual route.
C. Dissolving the medication in water and giving it through the NG tube defeats the purpose of sublingual administration and may not provide the desired therapeutic effect.
D. Administering the crushed medication through the NG tube is inappropriate for sublingual medications, as this can alter the medication's pharmacokinetics and effectiveness.
Correct Answer is A
Explanation
A. Urinary frequency for several days is an expected outcome after catheter removal, as the bladder may become more sensitive and responsive after having been drained continuously.
B. While temporary urinary retention can occur, it is less common after short-term catheterization, and most clients will start voiding normally within a few hours.
C. Blood-tinged urine may occur occasionally, but it is not a typical expected outcome unless there was trauma or irritation during catheterization.
D. Highly concentrated urine can occur due to dehydration or lack of fluid intake, but it is not a specific expected outcome following catheter removal.
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