A nurse is about to enter the room of a client with Clostrid… | MyMerci
MyMerci — full questions and rationale, free Start for free
Standard/Transmission-Based Precautions/Surgical Asepsis SIPC
Question

A nurse is about to enter the room of a client with Clostridioides difficile infection during a facility C. difficile outbreak. The nurse's hands are not visibly soiled. Which hand hygiene plan best follows CDC guidance?

Explanation
During routine care, CDC prefers alcohol-based hand rub when hands are not visibly soiled, including care of clients with C. difficile. During a C. difficile outbreak, CDC encourages soap-and-water handwashing after care and glove removal as an additional precaution because washing mechanically removes spores better than alcohol. Gloves and a gown remain essential. Therefore option 2 is the most accurate plan. Options 1 and 4 omit post-care handwashing during an outbreak, and option 3 substitutes alcohol for the recommended post-care wash.
Next question on this topicA 22-year-old female client presents to the emergency department with a 4-week history of …

In-depth explanation

Clinical judgment
Separate routine guidance from outbreak guidance. When hands are not visibly soiled, alcohol-based hand rub remains CDC's preferred routine method, even for C. difficile care. During a facility outbreak, add soap-and-water handwashing after care and glove removal because mechanical washing removes spores better than alcohol.

Safety bundle
Use gown and gloves on entry, remove PPE without contaminating the hands, then perform the outbreak-specific hand hygiene step. Soap and water is also required whenever hands are visibly soiled.

Official source
CDC Clinical Safety: Hand Hygiene for Healthcare Workers — https://www.cdc.gov/clean-hands/hcp/clinical-safety/index.html

Clinical scenario

Clinical Practice Guide
CDC, SHEA, and IDSA classify C. difficile, Bacillus anthracis, and certain Norovirus exposures as situations where soap and running water are preferred over alcohol-based hand rub. For all other routine contacts in the absence of visible soiling, ABHR remains WHO-preferred (5 Moments of Hand Hygiene).

Caution
NCLEX tests this exception heavily. If the prompt mentions C. difficile, Bacillus anthracis, Norovirus, or "visibly soiled", default to soap and water. Conversely, do NOT pick soap-and-water as default for routine contacts where alcohol is faster and gentler on skin.

Key concepts

Browse all questions No login required

Master the NCLEX-RN with MyMerci

Thousands of NCLEX-style questions with detailed rationale — in your language. Track your progress and study smarter.

Start for free
Read in another language: English한국어日本語繁體中文Tiếng Việt

For study reference only. Always follow current clinical guidelines and your institution’s protocols.