A nurse is providing teaching to a client who is to undergo a cardiac catheterization. Which of the following findings is expected during the procedure?

Rationale:

A. Remove the thermometer from the client’s room for use on another client: Equipment used for clients with C. difficile should be dedicated or properly disinfected before reuse. Removing and using the same thermometer on other clients without disinfection increases the risk of cross-contamination.

B. Wash hands with an alcohol-based cleaner: Alcohol-based hand sanitizers are ineffective against C. difficile spores. Handwashing with soap and water is required to physically remove the spores from the hands.

C. Change gloves after contact with infectious material: Gloves must be changed between tasks and after contact with infectious material to prevent spread. This is standard contact precaution practice for C. difficile infections.

D. Wear a gown when providing care: A gown should be worn during any direct care or activities likely to involve contact with the client or contaminated surfaces, as C. difficile is transmitted via the fecal-oral route and can persist on surfaces.

E. Wear an N95 respirator when providing care: An N95 respirator is not required for C. difficile, which is transmitted through contact, not airborne routes. Standard and contact precautions, not airborne, are appropriate.

Rationale:

A. Use an incentive spirometer every 4 hours: Incentive spirometry is primarily used to promote lung expansion and prevent atelectasis postoperatively. While important, it is aimed at respiratory function, not directly at promoting circulation.

B. Remain on bed rest for 24 hours following the procedure: Prolonged bed rest can lead to venous stasis and increase the risk of thromboembolic events. Early ambulation or movement is encouraged to improve circulation and prevent complications like deep vein thrombosis (DVT).

C. Place a pillow under your knees while in bed: Placing a pillow under the knees can cause venous stasis by compressing the popliteal vessels and should be avoided. It may also contribute to joint stiffness and increase the risk of DVT.

D. Participate in range of motion exercises: Range of motion exercises encourage venous return and stimulate blood flow in the extremities. This helps prevent postoperative complications such as DVT and promotes overall circulatory health.