Question

Multiple-choice question: What is the most likely cause of the viral gastroenteritis? A. Salmonella B. Escherichia coli C. Clostridium difficile D. Rotavirus

Short answer

The most likely cause of viral gastroenteritis is D. Rotavirus.

Step-by-step solution

Identify the type of pathogens

First, categorize the potential causes of gastroenteritis listed in the question into their types - bacteria or virus. Salmonella, Escherichia coli and Clostridium difficile are all bacteria while Rotavirus is a virus.

Match the cause with disease

As the question asks for a viral cause of gastroenteritis, match the only virus from the previous step with viral gastroenteritis.

Final check

Finally, confirm that the Rotavirus is indeed a known cause of gastroenteritis. Therefore, the answer is option D

Key concepts

Viral Gastroenteritis

Viral gastroenteritis is commonly known as the "stomach flu," though it is not related to influenza. It is an infection that causes inflammation of the stomach and intestines, leading to symptoms like diarrhea, vomiting, and abdominal cramps. The condition is highly contagious and can spread rapidly, especially in close communities or households. Children, the elderly, and those with weakened immune systems are most at risk.

Common viruses causing gastroenteritis include:

• Rotavirus: A leading cause, particularly in young children, which can lead to severe dehydration.
• Norovirus: Often results in outbreaks on cruise ships and in closed environments.
• Adenovirus: Another cause, especially in infants and young children.

Prevention primarily involves good hygiene practices, such as regular hand washing, and when available, vaccination against rotavirus for children. Keeping the immune system healthy, maintaining hydration, and avoiding contaminated foods or water can mitigate the spread and symptoms.

Pathogen Identification

Pathogen identification is crucial in diagnosing the exact cause of an illness like gastroenteritis. It involves recognizing whether the condition is caused by bacteria, viruses, or parasites. This process typically starts with a list of common pathogens and their characteristics, such as where they are commonly found and how they spread.

For the NCLEX-RN exam, it's important to distinguish between bacterial and viral pathogens, as this will direct appropriate treatment measures. Viral gastroenteritis, for instance, cannot be treated with antibiotics, which are only effective against bacterial infections.

• Viruses: Identified by their inability to be cultured in standard laboratory procedures for bacteria.
• Bacteria: Usually distinguished by their growth on culture plates and their reaction to certain laboratory tests.

In the context of the exam question, Rotavirus, the only virus listed, is the cause of viral gastroenteritis and illustrates the importance of correctly identifying pathogens to differentiate treatment plans.

Nursing Multiple-Choice Questions

For nursing students preparing for the NCLEX-RN exam, multiple-choice questions (MCQs) are a vital part of the evaluation process. These questions assess critical thinking and decision-making skills necessary in clinical settings. When approaching MCQs, follow a structured method:

• Read the question carefully, identifying key terms and concepts, such as "viral" in the case of gastroenteritis.
• Eliminate clearly incorrect options to narrow down possible answers.
• Think critically about the context, such as matching symptoms to diagnoses.

Practicing with similar questions enhances familiarity with the exam format and builds confidence. For instance, understanding why Rotavirus is the correct answer in our gastroenteritis question requires knowledge of pathogens and their associated diseases, demonstrating how theory translates into practice.