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.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
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Correct Answer is D
Explanation
The nurse should include in report type of transmission-based precautions in place for client who has shingles, which is contact precautions. This information is essential for preventing spread of infection to other clients and staff members. The client's background health history, number of visitors during shift, and times for routine vital sign measurements are not specific or relevant information for this client's condition and do not need to be included in report.
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