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a. Because the symptomatology is consistent with the presentation of the virus and the odd are also in favor of this assumption being that “is responsible for the majority of nonbacterial food-borne epidemic gastroenteritis in all age groups” (Grossman & Porth, 2014, p.1190). This virus is characterized for nausea, vomiting, watery diarrhea and it solves within one to three days. Given that the scenario occurs in a cruise, it can come from contaminated food or water and from contaminated surfaces or direct contact with the emissions of contaminated patients; the fact that the patients are in such closed quarters makes for easier transmission.
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b. Main concern with Norovirus is dehydration that results from the loss of fluids, given the age of the population, this concern is increased. The elderly population is particularly at risk for dehydration, hypovolemia and electrolyte imbalances that can result in arrhythmias. Rehydration must be addressed in order to avoid these complications. (Ignatavicius, Workman, Blair, Rebar, & Winkelman, 2016)
Grossman, S. C., & Porth, C. M. (2014). Porths pathophysiology concepts of altered health states. Philadelphia: Wolters Kluwer Lippincott Williams & Wilkins.
Ignatavicius, D. D., Workman, M. L., Blair, M., Rebar, C. R., & Winkelman, C. (2016). Medical-surgical nursing: patient-centered collaborative care. St. Louis, MO: Elsevier.