A nurse manager is performing a quality improvement assessment to determine the source of a recurrence of Clostridium difficile on a unit. The nurse manager should identify that which of the following nursing actions is a possible source of infection?
Wearing gloves when performing perineal care
Failing to don a mask when entering a client's isolation room
Cleansing visibly fecal-soiled hands with alcohol-based hand rub
Putting on a protective gown before entering a client's room
The Correct Answer is C
Cleansing visibly fecal-soiled hands with alcohol-based hand rub is a possible source of infection because alcohol-based hand rubs are not effective against Clostridium difficile spores. The nurse should wash his or her hands with soap and water for at least 15 seconds after contact with fecal material or surfaces contaminated with feces.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A total laryngectomy is a surgical procedure that removes the entire larynx (voice box) and separates the airway from the mouth, nose and esophagus. The client will have a permanent tracheostomy (an opening in the neck) and will not be able to speak normally. An artificial larynx is a device that produces sound by vibrating against the neck or cheek and allows the client to communicate orally. The nurse's priority intervention is to review the use of an artificial larynx with the client before surgery to facilitate postoperative communication and reduce anxiety.
Correct Answer is C
Explanation
A nurse should use an interpreter who speaks the client's language when providing discharge instructions to ensure effective communication and understanding of the information. The interpreter should be a trained professional who can convey the message accurately and respect confidentiality.
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