Fundamentals Question #27

Question

What is the appropriate hand hygiene protocol when caring for a client with C. difficile?

Answers

  1. Application of hand sanitizer before and after client care
    • Rationale:

      This answer is not correct because application of hand sanitizer is not adequate hand hygiene. C. diff has a great deal of watery diarrhea and the nurse is at high risk of exposure to contaminated stool. Hand hygiene with soap and warm water is essential to prevent spread of C. diff.

  2. Hand hygiene with soap and warm water
    • Rationale:

      This answer is correct because hygiene protocol when caring for a client with C. difficile is hand washing with soap and warm water. C. diff has a great deal of watery diarrhea and the nurse is at high risk of exposure to contaminated stool. Hand hygiene with soap and warm water is essential to prevent spread of C. diff.

  3. If hands are visibly soiled hand sanitizer can be used
    • Rationale:

      This answer is not correct because application of hand sanitizer when hands are visibly soiled is not adequate hand hygiene. C. difficile has a great deal of watery diarrhea and the nurse is at high risk of exposure to contaminated stool. Hand hygiene with soap and warm water is essential to prevent spread of C. diff.

  4. Some type of hand hygiene is required after client care
    • Rationale:

      This answer is not correct because not just “Some type of hand hygiene is required after client care” of a client with C. difficile. Due to the risk of contamination from watery diarrhea associated with C. difficile, hand hygiene with soap and warm water is essential.

Overview

Hygiene protocol when caring for a client with C. difficile is hand washing with soap and warm water.

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. C. diff has a great deal of watery diarrhea and the nurse is at high risk of exposure to contaminated stool. Hand hygiene with soap and warm water is essential to prevent spread of C. diff.

Test Taking Tip

If an answer is too vague, avoid choosing that answer. An example is the statement of, “Some type of hand hygiene is required after client care” of a client with C. difficile.

Video Rationale