A nurse is teaching a group of newly licensed nurses about caring for a client who has a Clostridium difficile infection. Which of the following Instructions should the nurse include in the teaching?

Wear a gown while providing personal hygiene.

Place the client in a room with negative airflow,

Apply a mask when providing care.

Wipe the stethoscope with alcohol after leaving the client's room.

Answer and Explanation

The Correct Answer is A

Rationale:

A. Wear a gown while providing personal hygiene: Contact precautions are required for clients with Clostridium difficile to prevent transmission via contaminated surfaces or direct contact. Wearing a gown during personal care protects the nurse’s clothing and skin from spores.

B. Place the client in a room with negative airflow: Negative airflow rooms are required for airborne infections such as tuberculosis or measles. C. difficile is spread via the fecal–oral route and does not require airborne isolation measures.

C. Apply a mask when providing care: Masks are necessary for droplet or airborne pathogens, but C. difficile spores are transmitted through direct or indirect contact, not respiratory droplets, so masks are not routinely required unless there is another indication.

D. Wipe the stethoscope with alcohol after leaving the client's room: C. difficile spores are resistant to alcohol-based disinfectants. Cleaning equipment requires soap and water or a sporicidal disinfectant to effectively remove spores and prevent spread.

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Correct Answer is B

Explanation

Rationale:

A. “Staff will apply identification bands to my baby after her first bath.": Identification bands are applied immediately after birth to ensure proper identification and prevent abduction, not after the first bath. Waiting could increase safety risks.

B. "I will not publish a public announcement about my baby's birth.": Limiting public announcements, such as on social media, reduces the risk of unwanted attention and potential abduction. This demonstrates understanding of newborn security measures.

C. "I can remove my baby's identification band as long as she is in my room.": Identification bands must remain on the newborn at all times to maintain safety and prevent misidentification or abduction. Removing them is unsafe.

D. "I can leave my baby in my room while I walk in the hallway.": Leaving a newborn unattended, even briefly, increases the risk of abduction and is against safety protocols. Constant supervision or staff assistance is required.

A. Check the compatibility of cefazolin with the client's existing IV fluids. B. Assess the IV for patency. C. Review the client's allergy history. D. Obtain the reconstituted antibiotic from the pharmacy.

Correct Answer is C

Explanation

Rationale:

A. Check the compatibility of cefazolin with the client's existing IV fluids: Compatibility is important to prevent precipitation or inactivation of the drug, but it should be done only after confirming the medication is safe for the client to receive.

B. Assess the IV for patency: Ensuring the IV line is patent is necessary before administration to avoid infiltration or extravasation, but it is not the first priority when preparing a first-time antibiotic dose.

C. Review the client's allergy history: Reviewing allergies is the first and most critical step, as cefazolin is a cephalosporin that can cause severe allergic reactions, particularly in clients with a history of beta-lactam (e.g., penicillin) allergy. Administering the drug without this check could cause life-threatening anaphylaxis.

D. Obtain the reconstituted antibiotic from the pharmacy: Securing the medication from the pharmacy is part of preparation, but this should only occur after confirming it is safe for the client to receive based on allergy status.

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A nurse is teaching a group of newly licensed nurses about caring for a client who has a Clostridium difficile infection. Which of the following Instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the facility's safety protocols concerning newborn abduction with the parent of a newborn. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is preparing to administer the first dose of cefazolin via intermittent IV infusion to a client. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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