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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["38"]
Explanation
To calculate the IV flow rate in drops per minute (gtt/min), you can use the following formula:
Flow Rate (gtt/min)=(Volume (mL)/Time (min)) × Drop Factor (gtt/mL)
In this case:
Flow Rate = (150 mL/hr / 60 min/hr) × 15 gtt/mL
Flow Rate=37.5gtt/min
Therefore, the nurse should set the IV flow rate to deliver approximately 38 gtt/min for the dextrose 5% in water IV infusion at 150 mL/hr, rounded to the nearest whole number.
Correct Answer is A
Explanation
A. Identify current infection rates from facility data:
This is the correct answer. Before implementing any changes, it is crucial to assess the current state of infection rates within the facility. This data serves as a baseline to measure the effectiveness of interventions.
B. Incorporate the process change into daily practice within the facility:
This step comes after identifying the current infection rates. Implementing changes without understanding the baseline infection rates may not effectively address the issue.
C. Select a potential intervention to lower the current infection rate:
While selecting an intervention is a crucial step, it should follow the identification of current infection rates. Interventions should be evidence-based and tailored to the specific issues identified.
D. Determine if the implemented change has lowered the current infection rate:
This step occurs after the intervention has been implemented. It involves ongoing monitoring and evaluation to determine the impact of the changes on infection rates.
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