A nurse is assessing a client two weeks postpartum. Which of the following statements by the client indicates a need for further evaluation?

A. Handling cat feces: Toxoplasmosis is most commonly transmitted through exposure to Toxoplasma gondii, a parasite found in cat feces. Handling contaminated litter, soil, or sand without proper hygiene can lead to infection, making this the correct response.

B. Drinking contaminated water: While contaminated water can transmit various infections, toxoplasmosis is primarily associated with exposure to cat feces or undercooked meat, not typically with drinking water.

C. Eating shellfish: Eating shellfish can expose individuals to other types of infections, such as hepatitis A or certain bacterial infections, but it is not a known source of toxoplasmosis.

D. Touching body fluids: Toxoplasmosis is not spread through casual contact with body fluids like saliva, blood, or urine. It is mainly transmitted through ingestion of the parasite from contaminated sources.

A. Frequent swallowing: Frequent swallowing after a tonsillectomy can be a sign of active bleeding from the surgical site. Even if bleeding is not visible, the child may be swallowing blood, which can lead to significant hemorrhage. This is the priority finding that requires immediate intervention.

B. Report of sore throat: A sore throat is an expected and normal finding after a tonsillectomy due to surgical trauma and healing. It does not represent an urgent or life-threatening complication.

C. Dark brown blood between the teeth: Dark brown blood suggests old, minimal bleeding and is not as concerning as active bright red bleeding. While it should be monitored, it is not the priority compared to signs of active hemorrhage.

D. Coffee-ground appearance of emesis: Coffee-ground emesis suggests the presence of digested blood, often from swallowed blood, and while concerning, it is a secondary finding. Frequent swallowing points more directly to active bleeding, which is more immediately life-threatening.