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    Ati lpn level 2 med surg proctored exam

    A nurse is caring for a client who has developed a Clostridium Difficile (C. Diff) infection following antibiotic therapy. Which of the following actions should the nurse take?

    Explanation & Rationale

    A. Monitor the client for manifestations of fluid overload: While monitoring fluid status is important, C. difficile infection typically causes diarrhea leading to dehydration, not fluid overload. The nurse should prioritize preventing dehydration over fluid overload in this context. B. Disinfect equipment with bleach solution: C. difficile spores are resistant to many disinfectants but can be effectively killed with bleach-based cleaners. Using bleach solution to disinfect equipment helps prevent the spread of this highly contagious infection. C. Use alcohol hand sanitizer following client care: Alcohol-based hand sanitizers are not effective against C. difficile spores. Handwashing with soap and water is necessary to physically remove spores after caring for a client with C. difficile. D. Implement neutropenia isolation: Neutropenia precautions are intended for clients with low neutrophil counts to protect them from infection. C. difficile infection requires contact precautions to prevent transmission, not neutropenia isolation.

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