A client presents with severe diarrhea. The client tells the ...

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A client presents with severe diarrhea. The client tells the nurse that she went to a chicken roast at church the previous weekend. The nurse suspects a foodborne illness.
 
  Which cause of bacterial foodborne illness should the nurse most suspect in this case?
  A) Campylobacter
  B) Listeria monocytogenes
  C) Salmonella
  D) Escherichia coli O157:H7

Question 2

A client arrives on the unit, diagnosed with norovirus infection from eating shellfish. The client has been vomiting repeatedly and is now severely dehydrated. Which interventions are likely to be performed for this client? (Select all that apply.)
 
  A) Starting an intravenous line for fluid and electrolyte replacement
  B) Encouraging the client and the client's family to practice good handwashing
  C) Immediate disinfecting all potentially contaminated objects and surfaces
  D) Isolating the client until 12 hours after the client has been symptom free
  E) Administering a vaccination

[rleezy04]

Answer to Question 1

Ans: A
Feedback:
Campylobacter is the most common cause of bacterial foodborne illness in the United States, and it is an important cause of diarrheal illness throughout the world regardless of people's age. Consumption of contaminated poultry is the most common source of Campylobacter infection, although undercooked meats, ground beef, pork, cheese, eggs, shellfish, unpasteurized milk, and direct exposure to pets and farm animals have been implicated. Other infectious organisms that commonly cause foodborne illnesses include noroviruses, Listeria monocytogenes, nontyphoid Salmonella, and E. coli O157:H7.

Answer to Question 2

Ans: A, B, C
Feedback:
Oral hydrating solutions should be given for attacks of norovirus, and in severe cases intravenous fluid and electrolyte replacement may be necessary. At the first signs of this acute gastroenteritis outbreak, good handwashing, thorough and immediate disinfection with appropriate solutions, and isolation of sick people until 72 hours, not 12 hours, after they are symptom free are critical. There is no vaccine currently for noroviruses.

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