Fundamentals Question #17

Question

The nurse is caring for a client who is in isolation for C, difficile. Which action is required when caring for this client?

Answers

  1. Apply hand sanitizer for hand hygiene after care
    • Rationale:

      This answer is not correct because after being in contact with a client with C. difficile, the nurse should completely wash hands. This is especially important due to the fact that the infection is in the stool and contact with any stool or infectious body fluids requires thoroughly washing hands, not just applying hand sanitizer.

  2. Apply a gown and gloves before entering the client's room
    • Rationale:

      This answer is correct because all people coming in contact with a client in contact precautions should wear a gown and gloves before entering the client’s room. Contact precautions are instituted for the prevention of transference of infections that are at increased risk of contact transmission. Examples of infections that have the potential to be transmitted through contact include MRSA, VRE, open wounds, RSV, diarrheal illnesses, including C. diff.

  3. Wear an eye protective surgical mask if turning on the lights
    • Rationale:

      This answer is not correct because PPE should be donned outside the client’s room. Furthermore, eye protection and a mask is not required, unless contact with body fluids is suspected.

  4. Applying an N-95 respirator before caring for the client
    • Rationale:

      This answer is not correct because a N-95 mask/respirator is unnecessary for caring for a client with C. difficile. N-95 mask/respirator is only used for airborne precaution isolation PPE specifically when caring for a client with tuberculosis. Only a gown and gloves are needed for contact precaution isolation unless contact with body fluids is suspected.

Overview

All people coming in contact with a client in contact precautions for C. difficile should wear a gown and gloves before entering the client’s room.

Explanation

Learning Outcomes

Contact precautions are instituted for the prevention of transference of infections that are at increased risk of contact transmission. Examples of infections that have the potential to be transmitted through contact include MRSA, VRE, open wounds, RSV, diarrheal illnesses, including C. diff. All people coming in contact with a client in contact precautions should wear a gown and gloves before entering the client’s room. The order to apply the PPE is (if all is worn) is gown, mask, goggles (eye protection), gloves. The order for removal or doffing is gloves, gown, goggles (eye protection), mask. Hand hygiene should be performed immediately.

Test Taking Tip

Since diarrhea is something you never want to touch (”Don’t touch that!”), you can think of contact precautions

Video Rationale