A nurse is providing teaching to a client who has a prescription for oxygen administration at home. Which of the following statements should the nurse include in the teaching?

Rationale:

A. Wash hands with an alcohol-based cleaner: Alcohol-based hand sanitizers are not effective against Clostridium difficile spores. Handwashing with soap and water is necessary to physically remove spores and reduce transmission.

B. Wear a gown when providing care: Contact precautions, including wearing a gown, are essential to prevent the spread of C. difficile through contaminated clothing and surfaces. Gowns help protect the nurse and other clients from infection.

C. Remove the thermometer from client's room for use on another client: Using equipment on multiple clients without proper disinfection can spread C. difficile. Disposable or dedicated equipment should be used, or the thermometer must be disinfected before reuse.

D. Wear an N95 respirator when providing care: C. difficile is transmitted via the fecal-oral route, not airborne. An N95 respirator is not required; standard surgical masks are sufficient if needed for droplet precautions.

E. Change gloves after contact with infectious material: Proper glove use and changing gloves after contact with fecal material or contaminated surfaces prevent cross-contamination and reduce the risk of spreading C. difficile to other clients or surfaces.

Rationale:

A. Respite care: Respite care provides temporary relief for caregivers, but it does not directly assist clients with limited financial resources in obtaining home IV therapy or covering medical costs. This resource may be helpful later but is not a primary financial support option.

B. Food stamps: Supplemental Nutrition Assistance Program (SNAP), or food stamps, helps low-income clients access adequate nutrition. Proper nutrition is important for healing and overall health, making this a relevant resource for a client below the poverty level.

C. Medicaid: Medicaid provides health coverage for low-income individuals and can help cover costs associated with home IV therapy, medications, and other healthcare needs. It is an appropriate recommendation for a client who meets income eligibility criteria.

D. Medicare Part A: Medicare primarily covers inpatient hospital care, skilled nursing facilities, hospice, and some home health services for clients over 65 or with certain disabilities. A young adult below the poverty level may not qualify, making this less appropriate for the scenario.

E. Adult day care: Adult day care provides socialization and supervision during the day, mainly for older adults or those with cognitive impairments. It does not address financial assistance or coverage for home IV therapy, so it is not a primary resource in this case.