A nurse is assisting with the planning of an in-service about updates in wound care for nursing staff.
Which of the following sources should the nurse identify as providing the best evidence-based information?
A peer-reviewed journal article
Information from a wound care product vendor
First-hand experience with wound care products
An entry on a nursing blog addressing wound healing
The Correct Answer is A
A peer-reviewed journal article is a scholarly publication where experts in the field have critically evaluated and reviewed the research before publication. It provides information based on evidence from scientific studies and research conducted by experts. Journal articles are usually considered reliable sources of evidence-based information.
Information from a wound care product vendor in (option B) is incorrect because it may be biased and primarily intended for marketing purposes. While vendors may provide some useful information about their products, it is essential to verify their claims through independent research and evidence from credible sources.
First-hand experience with wound care products in (option C) is incorrect because it can be valuable in practical settings, but it may not always be evidence-based. Personal experiences might not have undergone rigorous research and validation, so relying solely on personal experience may not always lead to the best outcomes.
An entry on a nursing blog addressing wound healing in (option D) is incorrect because it may contain valuable insights, but it may not always be based on evidence from rigorous scientific research. Blogs can vary widely in the quality of information they provide, and not all blog authors are experts in the field.
In summary, for an in-service on updates in wound care, the nurse should primarily rely on evidence-based information from peer-reviewed journal articles. These articles are more likely to provide reliable and current knowledge based on scientific research and expert evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. Assign the client to a negative pressure airflow room:Varicella zoster (chickenpox or shingles) is an airborne disease, so the client should be placed in a negative pressure airflow room to prevent the spread of the virus through airborne particles.
b. Administer aspirin if the client develops a fever:Aspirin should not be administered to children or adolescents with viral infections like varicella zoster due to the risk of Reye's syndrome, a potentially fatal condition that causes liver and brain damage.
c. Initiate contact precautions for the client: While contact precautions are important, varicella zoster also requires airborne precautions due to its highly contagious nature. This means that simply initiating contact precautions is not sufficient.
d. Have visitors remain at least 0.91 m (3 feet) away from the client:While maintaining distance can reduce the spread of many infections, varicella zoster requires more stringent precautions (airborne and contact). Instead of simply keeping a distance, visitors should be limited, and those who are not immune to varicella should avoid contact entirely.
Correct Answer is B
Explanation
Crackles heard in the lungs.
Fluid overload occurs when there is an excessive accumulation of fluid in the body, and it can occur in clients receiving enteral tube feedings. Crackles heard in the lungs, also known as rales, are abnormal lung sounds that can indicate the presence of fluid in the lungs. These crackling sounds occur when there is an excess of fluid in the alveoli or when air passes through fluid- filled airways. Crackles can be heard during auscultation of the lungs using a stethoscope and are a significant sign of fluid overload.
decreased skin turgor in (option A) is incorrect because it, is a sign of dehydration rather than fluid overload. Decreased skin turgor occurs when the skin lacks elasticity and is often seen in clients who are dehydrated.
weight loss in (option C) is incorrect because it, is not typically associated with fluid overload. Fluid overload usually results in weight gain or fluid retention rather than weight loss.
decreased blood pressure in (option D) is incorrect because it, is more commonly associated with hypovolemia or fluid deficit rather than fluid overload. In fluid overload, blood pressure may be elevated due to increased fluid volume.
In summary, crackles heard in the lungs are a manifestation of fluid overload and can be a significant sign for the nurse to assess and address in a client receiving enteral tube feedings.
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