If the client must be experiencing and undergoing the following:
1. Abdominal cramping, nausea, and vomiting.
2. Enteric precautions are required until three fecal cultures are negative for Shigella.
3. Absence of diarrhea doesn't indicate absence of Shigella.
4. Shigella still may be present 48 hours after anti-infective therapy begins.
5. Blood or mucus in their stool
Then the client has a shigella.