A nurse is serving on a committee that is developing infectious disease protocols. Which of the following instructions should the nurse include in the protocol for clients who have Clostridium difficile?

Disinfect hands using an alcohol-based waterless antiseptic.

Wear an N95 respirator when caring for the client.

Use diluted bleach to clean solled equipment.

Provide a room with negative-pressure airflow.

Answer and Explanation

The Correct Answer is C

A. Disinfecting hands using an alcohol-based waterless antiseptic is not effective against Clostridium difficile spores. C. difficile is a bacterium that forms spores, which are resistant to alcohol-based hand sanitizers. Handwashing with soap and water is recommended for effective removal of the spores.

B. Wearing an N95 respirator is not specifically indicated for caring for clients with Clostridium difficile. The primary mode of transmission for C. difficile is fecal-oral, and standard precautions, including gloves and gowns, are usually sufficient. N95 respirators are more commonly used for airborne precautions.

C. Using diluted bleach to clean soiled equipment is the correct instruction. Clostridium difficile spores are resistant to many disinfectants, but bleach (sodium hypochlorite) is effective in killing C. difficile spores. Diluted bleach solutions are recommended for cleaning surfaces and equipment that may be contaminated with C. difficile.

D. Providing a room with negative-pressure airflow is not typically necessary for clients with Clostridium difficile. Standard precautions, including appropriate cleaning and disinfection, are generally sufficient to prevent the spread of C. difficile in healthcare settings.

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Correct Answer is C

Explanation

The client's provider cannot provide informed consent on behalf of the client. The provider's role is to explain the procedure, its risks and benefits, and answer any questions the client may have to help the client make an informed decision.

The client's mother may have a supportive role in the decision-making process, especially if the client desires their involvement. However, unless the client has been legally deemed unable to make decisions (for example, due to lack of decision-making capacity), the client's consent should be sought directly.

The client is the primary individual who should provide informed consent for their own medical procedure, assuming they have decision-making capacity. They have the right to accept or refuse the treatment after being fully informed about the procedure, risks, benefits, and alternatives.

The client's sibling does not have the authority to provide informed consent for the client's medical procedure unless they have been legally designated as the client's healthcare proxy or legally authorized decision-maker.

A. "You can resume sexual activity 2 days after you complete your antiviral treatment." B. Your sexual partners can receive a chlamydia vaccine to protect against infection." C. "Chlamydia is an incurable infection that causes a thick, curd-like discharge." D. "The law requires a report of each case of chlamydia to the local health department."

Correct Answer is D

Explanation

A. The statement "You can resume sexual activity 2 days after you complete your antiviral treatment" is incorrect. Chlamydia is a bacterial infection, and the standard treatment is with antibiotics, not antivirals. Additionally, the client should wait until they have completed the full course of antibiotics and have been re-evaluated by their healthcare provider before resuming sexual activity to prevent the spread of the infection.

B. The statement "Your sexual partners can receive a chlamydia vaccine to protect against infection" is incorrect. As of my last knowledge update in January 2022, there is no chlamydia vaccine available. Chlamydia is typically treated with antibiotics, and preventing transmission involves safe sexual practices and partner notification.

C. The statement "Chlamydia is an incurable infection that causes a thick, curd-like discharge" is incorrect. Chlamydia is a curable bacterial infection, and it may or may not cause symptoms. It does not typically cause a thick, curd-like discharge; that description is more characteristic of a yeast infection.

D. The statement "The law requires a report of each case of chlamydia to the local health department" is correct. Chlamydia is a notifiable disease, meaning healthcare providers are legally required to report cases to the local health department. This reporting is essential for public health surveillance, tracking the prevalence of the infection, and implementing measures to control its spread.

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A nurse is serving on a committee that is developing infectious disease protocols. Which of the following instructions should the nurse include in the protocol for clients who have Clostridium difficile?

Nursing Test Bank

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