A patient who has been placed on Contact Precautions for Clostridium difficile (C. difficile) asks you to explain what he should know about this organism. Which statements made by the patient show an understanding of the patient teaching? (Select all that apply.)

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Question 1 of 5

A patient who has been placed on Contact Precautions for Clostridium difficile (C. difficile) asks you to explain what he should know about this organism. Which statements made by the patient show an understanding of the patient teaching? (Select all that apply.)

Correct Answer: B

Rationale: The correct answer is B: "Hands should always be cleaned with soap and water rather than the alcohol-based hand sanitizer." Rationale: 1. C. difficile spores are not effectively killed by alcohol-based hand sanitizers. 2. Washing hands with soap and water is essential for removing spores. 3. Proper hand hygiene is crucial to prevent the spread of C. difficile. 4. This statement reflects understanding of the importance of hand hygiene in preventing transmission of C. difficile. Incorrect Choices: A: Incorrect. While C. difficile is transmitted through the fecal-oral route, this statement does not directly address patient teaching on prevention. C: Incorrect. While gowns and gloves are necessary in Contact Precautions, this statement does not emphasize the importance of hand hygiene. D: Incorrect. Patients on Contact Precautions may leave the room but should practice proper hand hygiene to prevent transmission.

Question 2 of 5

The nurse at a family practice is responsible for reviewing home safety issues with all patients. She knows that there is an increased risk of falls in which of these two groups of patients?

Correct Answer: B

Rationale: The correct answer is B, toddlers and the elderly. Toddlers are at risk due to their curious nature and lack of coordination, while the elderly are at risk due to decreased balance and strength. School-age children are more coordinated and less prone to falls, infants lack mobility, and infants and the elderly are not directly comparable in terms of fall risk.

Question 3 of 5

A nurse is volunteering in an indigent clinic. She is seeing a patient whom she suspects has active tuberculosis. In this disease process, which of the following body systems serves as both the reservoir and portal of entry for this infection?

Correct Answer: B

Rationale: The correct answer is B, the respiratory system. In active tuberculosis, Mycobacterium tuberculosis is primarily transmitted through aerosolized droplets via the respiratory system. The lungs serve as both the reservoir, where the bacteria can multiply and thrive, and the portal of entry, allowing the organism to enter the body. The gastrointestinal system (A) is not the primary site for tuberculosis infection. The integumentary system (C) is the skin, which is not the reservoir or portal of entry for tuberculosis. The hematologic system (D) refers to the blood and is not the primary site for tuberculosis infection.

Question 4 of 5

A nurse is working in a nursing home when there is a fire in the kitchen and cafeteria area. Which of the following is the first priority for the nurse in this situation?

Correct Answer: A

Rationale: Step 1: Ensure safety of patients: The first priority of the nurse is to ensure the safety and well-being of the patients in the nursing home. Step 2: Moving patients out of harm's way: Ensuring all patients are moved out of harm's way is crucial to prevent injuries or casualties. Step 3: Avoid direct involvement in firefighting: Nurses are not trained firefighters and should not directly engage in extinguishing fires. Step 4: Wait for firefighters: The nurse should focus on safe evacuation and wait for professional firefighters to handle the fire. Step 5: Prioritize patient safety over containing the fire: Patient safety is the primary concern, and containing the fire comes after ensuring everyone is safe. Summary: - Choice A is correct as it prioritizes patient safety. - Choice B is incorrect as nurses should not remove flammable materials or engage in firefighting. - Choice C is incorrect as immediate evacuation without ensuring safety could lead to chaos. - Choice D is incorrect as nurses

Question 5 of 5

A nurse has just completed a blood draw for a patient with unknown HIV status. Which of the following is the correct way to dispose of the needle?

Correct Answer: B

Rationale: The correct answer is B: Place the needle in the nearest puncture-resistant container. This is the correct way to dispose of the needle because it ensures safe containment of the sharp object immediately after use, reducing the risk of accidental needle sticks and potential transmission of infections like HIV. Breaking the needle (choice A) can lead to injuries, and placing it in a distant container increases the chances of mishandling. Using any biohazard disposal container (choice C) may not necessarily be puncture-resistant, posing a risk. Recapping the needle (choice D) is discouraged as it increases the risk of needle stick injuries. Ultimately, placing the needle in the nearest puncture-resistant container ensures immediate safe disposal and minimizes risks effectively.

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