NCLEX-RNSafety and Infection Prevention and ControlEasy
A nurse is caring for a client with a new prescription for contact precautions. Which action by the nurse indicates a need for further teaching by the charge nurse?
- AUsing an alcohol-based hand rub immediately after exiting the room.
- BRemoving gloves before exiting the client's room.
- CWearing a gown and gloves when entering the client's room.
- DPlacing a 'Contact Precautions' sign on the client's door.
Show answer & explanationAnswer & explanation
Correct answer: A. Using an alcohol-based hand rub immediately after exiting the room.
For contact precautions, especially with organisms like C. difficile, handwashing with soap and water is preferred over alcohol-based hand rub after glove removal and exiting the room. Alcohol-based hand rubs are not effective against spores.
Why the other options are wrong
- B. Removing gloves before exiting the room prevents contamination of the outside environment.
- C. Wearing a gown and gloves is appropriate for contact precautions to prevent transmission.
- D. Placing a sign on the door alerts all staff and visitors to the required precautions.
Contact Precautions
Measures used to prevent the spread of infectious agents transmitted by direct or indirect contact with the client or the client's environment.
- Requires gown and gloves for all interactions involving contact with the client or their environment.
- Dedicated equipment should be used for the client, if possible.
- Hand hygiene (soap and water for C. difficile) must be performed after glove removal.
Memory trick: Don't GET it, don't SPREAD it – Gown, Gloves, Handwash!