The nurse is caring for a client who is having approximately 20 foul-smelling stools each day. Laboratory Gram stain testing indicates the presence of white blood cells (WBCs) and red blood cells (RBCs) in the stool
Which organism does the nurse expect to see in the culture report? a. Helicobacter pylori
b. Campylobacter jejuni
c. Clostridium botulinum
d. Norwalk virus
B
Campylobacter gastroenteritis causes foul-smelling diarrhea with up to 20 to 30 stools per day for 7 days. Both RBCs and WBCs are present in a Gram stain of the stools. Infection with Clo-stridium causes not diarrhea, but constipation, paralysis, and respiratory failure. H. pylori is a common cause of gastric ulcers, not gastroenteritis. Norwalk virus produces milder illness with diarrhea and vomiting.
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Red wine and hard cheese interacts with monoamine oxidase (MAO) inhibiters causing
A. muscle aches, fever, and fatigue. B. headache, nosebleeds, chest pain, and severe hypertension. C. stimulation of the nervous system. D. intensified sedative effects.
The daughter of an 88-year-old female client tells the nurse that her mother has recently quit go-ing on walks in the neighborhood because of pain in her legs. Which of the following is the best response from the nurse?
1. "I would like to speak with your mother to get more information." 2. "Older people frequently suffer from arthritis that can cause leg pain." 3. "Your mother probably has poor circulation in her legs, which is causing the pain." 4. "She is lucky to be as healthy as she is at her age."