A nurse on a medical-surgical unit suspects that several patients have Clostridium difficile (C. difficile) when they all develop watery diarrhea.
What actions should the nurse plan to take while waiting for the patients’ lab results?
Request the providers to initiate antibiotic therapy for every patient on the unit.
Perform hand hygiene with an alcohol-based agent.
Obtain stool cultures from all patients on the nursing unit.
Place all patients who have symptoms on contact precautions.
The Correct Answer is D
Choice A rationale
Requesting the providers to initiate antibiotic therapy for every patient on the unit is not the most appropriate action. Antibiotics should only be used when there is a confirmed bacterial infection. Overuse of antibiotics can lead to antibiotic resistance and can potentially trigger C. difficile infection due to disruption of normal gut flora.
Choice B rationale
While performing hand hygiene with an alcohol-based agent is important in general infection control, it is not the most effective measure against C. difficile.
C. difficile spores are resistant to destruction by alcohol-based hand rubs. Therefore, hand hygiene for C. difficile should involve washing with soap and water.
Choice C rationale
Obtaining stool cultures from all patients on the nursing unit is not the most appropriate action. Stool cultures should be obtained from patients who are symptomatic. Testing asymptomatic patients can lead to false positives and unnecessary treatment.
Choice D rationale
Placing all patients who have symptoms on contact precautions is the correct answer. Contact precautions, including the use of gloves and gowns, can prevent the spread of C. difficile. This is because C. difficile is spread via the fecal-oral route, and its spores can survive on surfaces for long periods.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choiceD.
Choice A rationale:
Introducing a regular diet is not the immediate priority for a child with severe diarrhea.The focus should be on stabilizing the child’s condition before reintroducing regular foods.
Choice B rationale:
Maintaining fluid therapy is important, but it is part of the broader goal of managing fluid balance.It is not the first step in addressing severe diarrhea.
Choice C rationale:
Rehydration is crucial, but it falls under the broader category of assessing and managing fluid balance.Ensuring the child is properly hydrated is part of the overall assessment.
Choice D rationale:
Assessing fluid balance is the priority action. This involves evaluating the child’s hydration status, monitoring for signs of dehydration, and ensuring that fluid therapy is appropriately managed.This step is critical to prevent complications from severe diarrhea.
Correct Answer is D
Explanation
Choice A rationale
Ground beef is not the best choice for a client learning about dietary choices. While it is a source of protein, it is also high in saturated fats, which can contribute to heart disease and other health problems. Choice B rationale
Raw vegetables are a good source of fiber and various vitamins and minerals. However, they should be washed thoroughly before consumption to remove any potential contaminants.
Choice C rationale
Fruit with the skin can be a good source of fiber and vitamins. However, like vegetables, they should be washed thoroughly before consumption.
Choice D rationale
High fiber cereals are a great choice for a healthy diet. They can help to regulate bowel movements, lower cholesterol levels, and control blood sugar levels.
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