A nurse cares for an older adult client who has Salmonella food ...

[moongchi]

A nurse cares for an older adult client who has Salmonella food poisoning. The client's vital signs are heart rate: 102 beats/min, blood pressure: 98/55 mm Hg, respiratory rate: 22 breaths/min, and oxygen saturation: 92.
 
  Which action should the nurse complete first?
  a.
  Apply oxygen via nasal cannula.
  b.
  Administer intravenous fluids.
  c.
  Provide perineal care with a premedicated wipe.
  d.
  Teach proper food preparation to prevent contamination.

Question 2

A nurse teaches a client who has viral gastroenteritis. Which dietary instruction should the nurse include in this client's teaching?
 
  a. Drink plenty of fluids to prevent dehydration.
  b. You should only drink 1 liter of fluids daily.
  c. Increase your protein intake by drinking more milk.
  d. Sips of cola or tea may help to relieve your nausea.

[xiaomengxian]

Answer to Question 1

ANS: B
Dehydration caused by diarrhea can occur quickly in older clients with Salmonella food poisoning, so maintenance of fluid balance is a high priority. Monitoring vital signs and providing perineal care are important nursing actions but are of lower priority than fluid replacement. The nurse should teach the client about proper hand hygiene to prevent the spread of infection, and preparation of food and beverages to prevent contamination.

Answer to Question 2

ANS: A
The client should drink plenty of fluids to prevent dehydration. Milk products may not be tolerated. Caffeinated beverages increase intestinal motility and should be avoided.

[moongchi]

Thank you

[xiaomengxian]

Happy to help you