A client has symptoms associated with salmonellosis. Which data is most relevant for the nurse to obtain from the client's history?

A. Living independently does not inherently increase the risk for C. difficile. Risk factors are more related to antibiotic use, exposure in healthcare settings, and individual health conditions rather than the living situation itself.
B. A weakened immune system (due to conditions like HIV/AIDS, cancer, or immunosuppressive therapy) can increase susceptibility to infections, including C. difficile. Individuals with compromised immunity are less able to fight off infections.
C. The use of antibiotics is a significant risk factor for C. difficile infection. Antibiotics can disrupt the normal gut flora, leading to overgrowth of C. difficile and subsequent infection.
D. While watery diarrhea is a common symptom of C. difficile infection, it is not a risk factor for developing the infection itself. Instead, it indicates that the infection is already present. Thus, this option does not contribute to the risk of developing C. difficile.
E. Fever is often a symptom of an underlying infection but is not a direct risk factor for developing C. difficile. It can occur with C. difficile infection but does not increase the likelihood of becoming infected.

A. This option includes nausea, which may occur but is not a primary indication for surgery. Belching can happen with digestive issues but does not specifically relate to GERD or the need for Nissen Fundoplication. Weight gain is not directly associated with GERD symptoms and may occur post-surgery due to changes in diet or activity levels.
B. Esophageal reflux is a central symptom of GERD and a primary reason for considering Nissen Fundoplication. While flatulence can occur with various gastrointestinal issues, it is not a hallmark symptom of GERD. Chronic cough may result from acid reflux irritating the throat, but this option does not emphasize the most common and significant symptoms related to the surgery.
C. Epigastric pain may occur in GERD but is not a defining symptom prompting surgery. Hoarseness can result from acid reflux affecting the vocal cords, yet it is not a primary reason for Nissen Fundoplication. Diarrhea is not typically associated with GERD and does not connect to the reasons for the procedure.
D. Heartburn is the classic symptom that drives many patients to seek surgical intervention. Gastroesophageal reflux directly indicates the condition being treated, and chest pain can be a significant discomfort caused by acid reflux.