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. Educate clients who are at risk for Parkinson's disease about maintaining a low-cholesterol diet: This is an example of primary prevention, aimed at reducing risk factors before the onset of disease, rather than tertiary prevention.

B. Provide daily exercise classes to improve ambulation for patients who have Parkinson's disease: Tertiary prevention focuses on managing disease, minimizing complications, and improving quality of life for those already diagnosed. Exercise programs help maintain mobility and prevent further functional decline.

C. Educate clients about common techniques used to diagnose Parkinson's disease: Teaching about diagnostic techniques is related to secondary prevention, which focuses on early detection and timely intervention.

D. Provide screenings for community members to identify early manifestations of Parkinson's disease: Screening is a secondary prevention strategy intended to detect disease early in asymptomatic individuals, not tertiary prevention.

A. "You will be given access to the medical records of every client in the facility." B. "You will be asked to change your password once per year." C. "Information Technology will install a firewall to secure client information." D. "Documentation of sensitive material is performed by the charge nurse."

Correct Answer is C

Explanation

A. "You will be given access to the medical records of every client in the facility.": Access to electronic medical records is restricted based on the nurse’s role and need-to-know basis to protect client confidentiality. Nurses only view records of clients under their care.

B. "You will be asked to change your password once per year.": Most facilities require more frequent password changes, often every 60–90 days, to maintain system security. Annual changes alone are insufficient for protecting client data.

C. "Information Technology will install a firewall to secure client information.": Firewalls and other cybersecurity measures help protect electronic health information from unauthorized access. Including this ensures nurses understand that the system has built-in technical safeguards for privacy and security.

D. "Documentation of sensitive material is performed by the charge nurse.": All licensed nurses are responsible for accurate, complete, and timely documentation of client care, including sensitive material. Responsibility is not limited to the charge nurse.

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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 planning a community health program about Parkinson's disease. Which of the following interventions should the nurse include as a tertiary prevention strategy?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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