An infection control nurse is teaching a class about the transmission of infectious agents. The nurse should include that which of the following diseases is transmitted via airborne transmission? (Select All that Apply.)

Choice A Reason:

Removing the protective gown before removing gloves is incorrect. The correct procedure is to remove gloves first, followed by the gown, to prevent contamination from the gown to the hands.

Choice B Reason:

Using an electronic thermometer is not recommended for clients with Clostridium difficile. Disposable thermometers or dedicated equipment should be used to prevent cross-contamination.

Choice C Reason:

This is the correct answer. The protective gown should be removed before leaving the client’s room to prevent the spread of Clostridium difficile spores to other areas of the healthcare facility. Proper removal and disposal of PPE are crucial in infection control.

Choice D Reason:

Shaking bed linens is incorrect as it can aerosolize Clostridium difficile spores, increasing the risk of spreading the infection. Linens should be carefully handled and placed in a linen bag without shaking.

Choice A Reason: Light sensitivity

Light sensitivity, also known as photophobia, is a common symptom of a ruptured cerebral aneurysm. When an aneurysm ruptures, it can cause bleeding in the brain, leading to increased intracranial pressure and irritation of the meninges, which can result in sensitivity to light.

Choice B Reason: Loss of consciousness

Loss of consciousness is a critical symptom of a ruptured cerebral aneurysm. The sudden increase in intracranial pressure from the bleeding can lead to a rapid decline in the patient’s level of consciousness. This symptom is a medical emergency and requires immediate attention.

Choice C Reason: A dilated pupil

A dilated pupil can indicate increased intracranial pressure or direct pressure on the cranial nerves due to the bleeding from a ruptured aneurysm. This symptom is often associated with severe neurological impairment and requires urgent medical intervention.

Choice D Reason: Visual disturbances

Visual disturbances, such as blurred or double vision, can occur due to the pressure exerted by the bleeding on the optic nerves or other parts of the visual pathway. These disturbances are significant indicators of neurological compromise.

Choice E Reason: Nausea and vomiting

Nausea and vomiting are common symptoms of increased intracranial pressure, which can result from a ruptured cerebral aneurysm. The irritation of the brain’s vomiting center due to the bleeding can lead to these symptoms.

Choice F: Numbness on one side of the face

Numbness on one side of the face is not typically a direct symptom of a ruptured cerebral aneurysm. While neurological deficits can occur, numbness is more commonly associated with other types of strokes or localized nerve damage rather than the acute presentation of a ruptured aneurysm.