A nurse is caring for a client with suspected viral gastroenteritis. What assessment finding should the nurse prioritize?

Skin turgor and mucous membranes

Blood pressure and heart rate

Urinary output and specific gravity

Respiratory rate and lung sounds

Answer and Explanation

The Correct Answer is A

A) Correct. Skin turgor and mucous membranes are important indicators of hydration status, which is a critical concern in clients with gastroenteritis.

B) Incorrect. While blood pressure and heart rate are important vital signs, they may not provide immediate information about the client's hydration status.

C) Incorrect. Urinary output and specific gravity are important indicators of renal function, but they may not provide immediate information about the client's hydration status.

D) Incorrect. Respiratory rate and lung sounds are important assessments, but they may not provide immediate information about the client's hydration status.

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Correct Answer is B

Explanation

A) Incorrect. Resuming normal activities when only feeling slightly better may risk spreading the infection to others.

B) Correct. It's important to wait until all symptoms, including diarrhea, vomiting, and abdominal pain, have completely resolved before resuming normal activities to prevent the spread of infection.

C) Incorrect. Being symptom-free for only 24 hours may not be sufficient to ensure full recovery from gastroenteritis.

D) Incorrect. Antibiotics are not always prescribed for gastroenteritis, and resuming normal activities should be based on symptom resolution, not antibiotic use.

A. "The bacteria release toxins that directly damage the gastrointestinal lining." B. "The bacteria invade and destroy the cells lining the small intestine." C. "The bacteria induce an immune response leading to inflammation." D. "The bacteria disrupt the balance of normal gut flora."

Correct Answer is A

Explanation

A) Correct. Many bacteria that cause gastroenteritis release toxins that directly damage the gastrointestinal lining.

B) Incorrect. While invasion of cells can occur with certain bacteria, it is not the primary mechanism of action for all bacterial gastroenteritis.

C) Incorrect. While inflammation is a common response to bacterial infection, it may not be the primary mechanism of all cases of bacterial gastroenteritis.

D) Incorrect. Disruption of normal gut flora is more commonly associated with certain types of antibiotics rather than the direct mechanism of bacteria causing gastroenteritis.

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A nurse is caring for a client with suspected viral gastroenteritis. What assessment finding should the nurse prioritize?

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Naxlex Comprehensive Predictor Exams

A client recovering from gastroenteritis asks the nurse about when it is safe to resume normal activities. What is the nurse's best response?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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