A student has just performed a physical assessment on a patient who has an infection with C. difficile. The student uses an alcohol hand rub while preparing to leave the room. Which action should the nurse take?

a. Ask the student to wash with soap and water before exiting the room.
b. Discuss the matter with the student later in a quiet area.
c. No action is required.
d. Report the student's action to the instructor.


ANS: A
The student should be asked to wash with soap and water before leaving the room. Alcohol-based hand rubs are ineffective against C. difficile spores. Reporting the action to the student's instructor will not prevent the student from having immediate contact with another patient and spreading the disease; neither will discussing the problem later with the student.

Nursing

You might also like to view...

The nurse is performing an abdominal assessment on the client. Rank the assessment steps in the order in which they should occur

Select the correct choice from the list. 1. Percuss the abdomen. 2. Visualize the quadrants of the abdomen. 3. Palpate the abdomen. 4. Auscultate the abdomen. 5. Encourage the client to void.

Nursing

Which of the following ethical issues is often a concern to a faith community nurse (FCN)?

a. The client's right to confidentiality if a client repents and confesses sin to the nurse b. Following the Health Insurance Portability and Accountability Act (HIPAA) requirements c. The nurse's legal responsibility to the faith community leader d. Setting up appropriate medical records of care given in case of a later legal suit

Nursing

The nurse caring for a patient with Cushing's symdrome explains to her patient about the dexamethasone suppression test scheduled for tomorrow. What does the nurse explain that this test will involve?

A) Administration of dexamethasone orally, followed by a plasma cortisol level every hour for 3 hours B) Administration of dexamethasone intravenously, followed by an x-ray of the adrenal glands C) Administration of dexamethasone orally at 11 PM, and a plasma cortisol level at 8 AM the next morning D) Administration of dexamethasone intravenously, followed by a plasma cortisol level 3 hours after the drug is administered

Nursing

Acyclovir (Zovirax) ointment has been prescribed for a client with oral herpes lesions. The nurse includes the following information when educating the client regarding this medication: Select all that apply

1. Adverse effects include vomiting and diarrhea. 2. It can reduce the length of the herpes outbreak. 3. It is an antibiotic medication. 4. Repeated usage of the drug will likely put the client into a permanent remission state. 5. It is most effective when administered intravenously.

Nursing