NCLEX-PN

44. An LPN is working in a client’s room who is positive for C. Diff (Clostridium difficile). What is the best action for the LPN to take?

A.​ Don a mask, gown, and gloves when working with this client. B.​ Wear gloves when having any physical contact with the client. C.​ Wear gloves and a mask when cleaning the client. D.​ Wear gloves and gown during client care. Correct Response: D

Explanation: The correct answer is (C). The best action for the LPN when working with a client positive for C. Diff (Clostridium difficile) is to wear gloves and a gown during client care, as indicated in option D. C. Diff is associated with contact precautions, and gloves and a gown constitute the appropriate personal protective equipment (PPE) for preventing transmission. This is because the primary mode of C. Diff transmission is through contact with contaminated surfaces rather than respiratory droplets. (A) , (B) , and (C) , which involve additional measures such as masks or excessive PPE, are not necessary for C. Diff precautions. While some individuals may choose to wear masks, it is not mandatory nor a standard/recommended practice, as the primary concern is contact with the bacteria through skin or clothing. In summary, using gloves and a gown during client care represents the most effective and recommended approach to minimize the risk of C. Diff transmission in this context. (See Transmission-Based Precautions ) 45. Which statement would be the most accurate in safety education for injury prevention in the home of elderly adults? A.​ Use the handrail when going up and down the stairs, ensure robes or pants are held up if flowy, and wear comfortable, non-skid footwear. B.​ Use solid chairs without armrests, remove anything in walkways, and use cordless phones. C.​ Remove all throw rugs, remove furniture from all pathways, and wear comfortable, non-skid footwear. D.​ Have raised toilet seats, ensure all throw rugs have gripping material on the floor side, and use grab bars in the shower/bathroom. Correct Response: C Explanation: The correct answer is (C) . In safety education for injury prevention in the homes of elderly adults, the most accurate statement emphasizes the removal of potential fall hazards . Advising individuals to remove all throw rugs, clear pathways of furniture, and wear comfortable, non-skid footwear is crucial in minimizing the risk of falls, as throw rugs, furniture in walkways, and slippery footwear are common contributors to accidents in the elderly population. While the recommendation in (A) to use handrails when going up and down stairs and ensure secure clothing is valid, it lacks the comprehensive approach of addressing throw rugs and non-skid footwear. (B) , suggesting the use of solid chairs without armrests and clearing walkways, does not sufficiently cover the risks associated with throw rugs and proper footwear. (D) , while addressing certain safety aspects, does not encompass the broader issues related to throw rugs, furniture in walkways, and non-skid footwear as effectively as the correct response. (See Home Safety: Evaluating the Need for Home Modifications for Clients )

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