The nurse is providing ancillary personnel with instructions regarding the proper methods to im-plement when caring for a client with a Clostridium difficile infection

Which of the following practices will have the greatest impact on containment of the bacteria and thus prevention of cross-contamination?
1. Frequent in-services on transmission modes of C. difficile
2. Practice of proper hand hygiene by all staff
3. Appropriate handling of contaminated linen
4. Stool cultures on all suspected carriers


ANS: 2
Poor hand hygiene and erratic disinfection practices result in the transmission of C. difficile. Stool cultures are useful in the diagnosis, not the prevention, of C. difficile. Although the other options are appropriate, they do not have the most impact on preventing the spread of these bacteria.

Nursing

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A rapid onset of symptoms that last a relatively short time indicates what health problem?

A) a chronic illness C) actual risk factor B) an acute illness D) potential for wellness

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The police bring a man to the emergency department (ED) who is visibly ill. The man is vomiting and complains of stomach pain. He tells the ED staff, "My wife is trying to kill me."

The police officer states that the man gave him a small bottle with white power in it. The prescriber runs some tests and confirms arsenic poisoning. The nurse should prepare to administer a. deferoxamine (Desferal). b. dimercaprol (BAL In Oil). c. edetate calcium disodium (calcium EDTA). d. penicillamine (Cuprimine).

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A client with cancer asks the nurse where cancer comes from. What is the best explanation by the nurse?

1. "Cancer cells are body cells that have lost the ability to regulate growth." 2. "Cancer is caused primarily by viruses in the environment." 3. "Cancer is genetic; you inherited the predisposition for your cancer." 4. "Cigarette smoking and secondhand smoke are the primary causes of cancer."

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The nurse has discussed lifestyle modifications to help manage the client's hypertension. Which statement made by the client indicates an understanding of the information?

A. "I need to get started on my medications right away." B. "My father had hypertension, did nothing, and lived to be 90 years old." C. "I know I need to give up my cigarettes and alcohol." D. "I won't be able to run in the marathon race anymore."

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