问题 单项选择题

A certified nursing assistant (CNA) is caring for a client with Clostridium difficile diarrhea and asks the charge nurse, "How can I keep from catching this from the client" The nurse reminds the CNA to wash her hands and to ensure the client is placed

A. on protective isolation.
B. on neutropenic precautions.
C. in a negative-pressure room.
D. on contact isolation.

答案

参考答案:D

解析:C difficile can be transmitted from person to person by hands or waste containers such as a bedpan. When in direct contact with the client, the nurse should practice contact isolation, which includes wearing gloves and a gown. Protective isolation is used to protect a client who is immunocompromised, which isn’t evident in this case. Neutropenic precautions are for clients with an absolute neutrophil count of 1,000/μL or less; this isn’t evident in this case. A negative-pressure room is used when the organism is spread by the airborne route, which isn’t true of C. difficile diarrhea.

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