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
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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