Editing Nursing Skills and Procedures – LPN Practice Questions (section)

==Question 11==
A licensed practical nurse is caring for a client with ''Clostridioides difficile'' infection. Which action is essential?
# Use an alcohol-based hand rub after removing gloves.
# Wash hands with soap and water after removing gloves.
# Wear an N95 respirator when entering the room.
# Place the client in a negative pressure room.

'''Answer:''' 2 (B). Wash hands with soap and water after removing gloves.

''Rationale:'' ''C. difficile'' forms spores that alcohol-based hand rub does not kill, so mechanical removal with soap, water, and friction is required, making option 1 inadequate. The organism spreads by contact, so gown and gloves and a bleach-based sporicidal cleaner are used. Options 3 and 4 describe airborne precautions, which apply to tuberculosis, measles, and varicella, not to ''C. difficile''.