A nurse is caring for a client who has a Clostridium difficile infection. Which of the following actions should the nurse take? (Select all that apply.)
Explanation & Rationale
A. Wear a gown when providing care: Contact precautions are required for clients with Clostridium difficile infection. Wearing a gown prevents contamination of the nurse’s clothing with infectious spores, reducing the risk of transmission to other clients or surfaces. B. Change gloves after contact with infectious material: Gloves must be changed after any contact with infectious material, such as feces or contaminated surfaces, to prevent cross-contamination and protect the nurse and other clients from exposure. C. Remove the thermometer from client's room for use on another client: Medical equipment must remain in the client’s room or be thoroughly disinfected before reuse. Removing thermometers without proper disinfection risks spreading C. difficile spores to other clients. D. Wear an N95 respirator when providing care: N95 respirators are indicated for airborne precautions, not contact precautions. C. difficile is transmitted via the fecal-oral route and does not require respiratory protection unless aerosol-generating procedures occur. E. Wash hands with an alcohol-based cleaner: Alcohol-based hand sanitizers are ineffective against C. difficile spores. Handwashing with soap and water is required to physically remove spores and prevent transmission.