A nurse cares for a client who has food poisoning resulting from ...

[cmoore54]

A nurse cares for a client who has food poisoning resulting from a Clostridium botulinum infection. Which assessment should the nurse complete first?
 
  a. Heart rate and rhythm
  b. Bowel sounds
  c. Urinary output
  d. Respiratory rate

Question 2

A nurse cares for a client with a new ileostomy. The client states, I don't think my friends will accept me with this ostomy. How should the nurse respond?
 
  a. Your friends will be happy that you are alive.
  b. Tell me more about your concerns.
  c. A therapist can help you resolve your concerns.
  d. With time you will accept your new body.

[Animal_Goddess]

Answer to Question 1

ANS: D
Severe infection with C. botulinum can lead to respiratory failure, so assessments of oxygen saturation and respiratory rate are of high priority for clients with suspected C. botulinum infection. The other assessments may be completed after the respiratory system has been assessed.

Answer to Question 2

ANS: B
Social anxiety and apprehension are common in clients with a new ileostomy. The nurse should encourage the client to discuss concerns. The nurse should not minimize the client's concerns or provide false reassurance.

[cmoore54]

Thank you

[Animal_Goddess]

Happy to help you