Practice Question
A nurse is caring for a client on a medical-surgical unit.
Answer Choices:
Correct Answer:
Don a gown when entering the client's room.
Rationale:
🟩 Don a gown when entering the client's room. Clostridium difficile requires contact precautions, which includes wearing gloves and a gown to prevent spore transmission.
🟩 The client also has influenza, which adds a droplet precaution layer, but contact precautions still mandate a gown.
🟩 This action prevents contamination of clothing and reduces the risk of spreading infection to others.
🟩 Provide a mask for the client when they are outside their room. Influenza is transmitted through respiratory droplets, so the client must wear a mask if they leave the room.
🟩 Wearing a mask prevents droplets from spreading into the environment and exposing other vulnerable clients.
🟩 This measure is essential anytime a droplet-precaution client moves outside their controlled room environment.
🟩 When removing personal protective equipment, remove gloves first. Gloves are the most contaminated part of PPE when caring for a client with C. difficile and influenza.
🟩 Removing gloves first reduces the chance of contaminating other PPE or clean areas of the body.
🟩 This follows standard CDC PPE removal sequence for infection control.
Perform hand hygiene with at least 4 to 5 mL of hand sanitizer when leaving the client's room.
🟩 Alcohol-based sanitizer does not kill C. difficile spores.
🟩 Handwashing with soap and water is required after caring for this client.
Place the client in a room with positive air flow.
🟩 Positive airflow rooms push air out, which increases the spread risk of influenza.
🟩 Droplet and contact precautions do not require positive-pressure rooms.
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This question is from RN Fundamentals Final 2023 -Fall 2025 which contains 72 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 5