What are some areas of concern that the nurse should be cognizant of?

The community nurse at the seaport authority believes this is an outbreak of “Norwalk virus” based on the symptoms presented by the passengers. Norwalk virus is characterized by nausea, vomiting, cramping in the stomach, and diarrhea. This virus can be spread quickly in places where there is close human contact such as on cruise ships.

b. This outbreak should raise several concerns for the nurse:

• Infection control: The nurse should ensure that the ship’s crew is following proper infection control procedures to prevent the spread of the virus. It may be necessary to isolate infected people, disinfect common areas and promote frequent handwashing.
• Dehydration: Nurses should be on the lookout for any signs of dehydration such as dark urine and dry mouth. Dehydration is a serious problem for elderly passengers, who may need IV fluids and other interventions.
• Complications. Although Norwalk virus typically is a self limiting illness, passengers over 65 may experience complications including pneumonia or urinary system infections. The nurse will monitor the passengers to look for these signs and make sure they are receiving appropriate medical attention if required.
• Communication: The nurse should communicate regularly with the ship’s crew and local healthcare facilities to coordinate care for passengers. Nurses should communicate regularly with the ship’s crew and local healthcare facilities to coordinate care for passengers.