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 D
Explanation
The hand-off report is a verbal or written communication that provides essential information about the client's care, treatment, current condition and anticipated needs during a transition of care. The hand-off report should include information that is relevant, accurate, concise and timely. The effectiveness of the last dose of pain medication is an important information that should be included in the hand-off report, as it reflects the client's current pain level, response to treatment and need for further intervention.
Correct Answer is D
Explanation
The nurse should encourage the client to make choices regarding hygiene, as this respects the client's autonomy and dignity. Suctioning the client's airway every hour is incorrect because it may cause discomfort and distress to the dying client. Offering the client sips of a citrus flavored soda is incorrect because it may irritate the client's mouth and throat, which are often dry and sensitive at the end of life. Positioning the client supine in bed is incorrect because it may increase the risk of aspiration and airway obstruction, as well as pressure ulcers.
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