# Stage 4 — Generate solutions. Symptomatic CDI is confirmed. Which infection-control and supportive-care actions should the nurse implement or coordinate now? Select all that apply. > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=372796&lang=en > language: en > subject: Standard/Transmission-Based Precautions/Surgical Asepsis > category: SIPC ## Question Stage 4 — Generate solutions. Symptomatic CDI is confirmed. Which infection-control and supportive-care actions should the nurse implement or coordinate now? Select all that apply. 1 Administer loperamide after every loose stool without a prescription or evaluation because slowing intestinal transit is routine first-line CDI care 2 Coordinate daily and terminal cleaning with an EPA List K sporicidal product, following its label contact time, and disinfect shared equipment before reuse 3 Wear a gown and gloves for every room entry, remove PPE before exit, and keep dedicated equipment in the room when possible 4 Stop contact precautions after the first formed stool or a negative repeat test, whichever occurs first, even if diarrhea ended less than 48 hours ago 5 Use a single-patient room with a dedicated toilet or commode and maintain precautions for at least 48 hours after diarrhea resolves or longer per policy 6 Wash with soap and water after glove removal when spore contact is likely and reinforce soap-and-water use during a CDI outbreak according to policy ## Explanation Four appropriate actions Correct choices are 2, 3, 5, and 6. CDC recommends a single room with dedicated toilet and equipment, gown and gloves, continued precautions for at least 48 hours after diarrhea resolves or longer, and daily plus terminal cleaning with an EPA List K sporicidal product. Wash with soap and water when spore contact is likely and reinforce it during outbreaks. Antimotility medication is not routine independent nursing treatment, and repeat testing is not used to end precautions or prove cure. ## In-depth explanation Step 1 — Break the transmission chain Room placement, dedicated toileting and equipment, gown and glove use, and correct PPE removal reduce fecal-spore spread. Step 2 — Use an actual sporicidal product correctly Daily and terminal environmental cleaning should use an EPA List K product. The label's dilution, wet-contact time, surface compatibility, and safety directions matter; a fixed bleach dilution is not universal for every product. Step 3 — Use hand hygiene with context Gloves remain essential because sanitizer does not kill C. difficile spores and handwashing alone may not remove every spore. CDC recommends soap and water when spore contact is likely and emphasizes it as an added precaution during outbreaks. Step 4 — Avoid shortcuts Do not stop precautions at the first formed stool and do not order a test of cure. Do not independently give antimotility medication as routine CDI care. NCLEX rule Select the complete isolation, PPE, equipment, cleaning, and contextual hand-hygiene bundle. ## Clinical scenario Scenario (Stage 4 — Generate solutions) The multistep stool algorithm confirms symptomatic CDI, and specific therapy has begun. Clinical judgment target Apply CDC infection-control measures without relying on a universal bleach dilution, a test of cure, or an automatic medication prohibition. ## Key concepts - **EPA List K** — EPA-registered antimicrobial products with demonstrated effectiveness against C. difficile spores when used according to label directions. - **Contact-precaution duration** — At least 48 hours after diarrhea resolves, or longer up to the duration of hospitalization according to facility policy and transmission risk. - **Spore-aware hand hygiene** — Glove use plus handwashing with soap and water after likely spore contact, with additional emphasis during CDI outbreaks. ## Related questions - [A nurse is caring for a client newly admitted with suspected methicillin-resistant Staphyl…](https://mymerci.kr/pages/nclex_q.php?qn_id=360517&lang=en) - [A nurse is about to enter the room of a client with Clostridioides difficile infection dur…](https://mymerci.kr/pages/nclex_q.php?qn_id=361226&lang=en) - [A 22-year-old female client presents to the emergency department with a 4-week history of …](https://mymerci.kr/pages/nclex_q.php?qn_id=361677&lang=en) - [A 65-year-old client admitted to the medical ICU with sepsis and acute delirium has just p…](https://mymerci.kr/pages/nclex_q.php?qn_id=361679&lang=en) - [A new graduate registered nurse (RN) on a medical unit just hung an intravenous antibiotic…](https://mymerci.kr/pages/nclex_q.php?qn_id=361710&lang=en) - [A nurse is caring for a client newly admitted with active Clostridioides difficile infecti…](https://mymerci.kr/pages/nclex_q.php?qn_id=363996&lang=en) - [A nurse is caring for an adult client newly admitted with suspected active pulmonary tuber…](https://mymerci.kr/pages/nclex_q.php?qn_id=366306&lang=en) - [A nurse cares for a client newly admitted with a positive surveillance culture for vancomy…](https://mymerci.kr/pages/nclex_q.php?qn_id=366709&lang=en) ## Read in another language - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=372796&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=372796&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=372796&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=372796&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=372796&lang=vi) --- More free questions: [NCLEX-RN Practice](https://mymerci.kr/pages/nclex_bank.php?lang=en) _For study reference only. Always follow current clinical guidelines and your institution’s protocols._