Author Question: A student has just performed a physical assessment on a patient who has an infection with C. ... (Read 145 times)

tnt_battle · **on:** Jul 23, 2018

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.

Question 2

Which compound can be used to treat localized skin infections and to irrigate wounds?

a. Benzalkonium chloride (BAC)
b. Hexachlorophene (pHisoHex)
c. Oxychlorosene sodium (Clorpactin WCS90)
d. Sodium hypochlorite

Christopher · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

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.

Answer to Question 2

ANS: C
Oxychlorosene sodium can be used to treat localized infections caused by drug-resistant microbes and to irrigate wounds. Benzalkonium chloride can cause severe local injury, so it is not widely used. Hexachlorophene has central nervous system (CNS) effects when absorbed through the skin and is not used in open areas such as wounds. Sodium hypochlorite is too irritating for application to the skin.