A nurse is assisting with the plan of care for a client who has botulism poisoning. Which of the following interventions should the nurse include in the plan?
Monitor for muscle paralysis.
Place in contact isolation.
Check for increased salivation.
Administer clindamycin hydrochloride.
The Correct Answer is A
The nurse should include monitoring for muscle paralysis in the plan of care for a client with botulism poisoning. Botulism is a serious bacterial illness that can cause muscle paralysis and can be life threatening. Monitoring for muscle paralysis is essential for early detection and intervention.
Choice B is incorrect because contact isolation is not necessary for the treatment of botulism.
Choice C is incorrect because increased salivation is not a common symptom of botulism.
Choice D is incorrect because clindamycin hydrochloride is not used to treat botulism.
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Correct Answer is A
Explanation
The nurse should include monitoring for muscle paralysis in the plan of care for a client with botulism poisoning. Botulism is a serious bacterial illness that can cause muscle paralysis and can be life threatening. Monitoring for muscle paralysis is essential for early detection and intervention.
Choice B is incorrect because contact isolation is not necessary for the treatment of botulism.
Choice C is incorrect because increased salivation is not a common symptom of botulism.
Choice D is incorrect because clindamycin hydrochloride is not used to treat botulism.
Correct Answer is C
Explanation
A bladder infection can lead to confusion or other changes in mental status, especially in older adults. A normal temperature and WBC count do not necessarily indicate a bladder infection. Diminished reflexes are not typically associated with a bladder infection.
A: A temperature of 37.3° C (99.1° F) is within the normal range and does not necessarily indicate a bladder infection.
B: A WBC count of 9,000/mm3 is within the normal range and does not necessarily indicate a bladder infection.
D: Diminished reflexes are not typically associated with a bladder infection.
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