A nurse is collecting data from a client who reports feeling stress. Which of the following should the nurse identify as an external stressor?

Recurring urinary tract infections

A recent move to a new city

Lack of nutritional knowledge

Report of feeling depressed

Answer and Explanation

The Correct Answer is B

A.   Incorrect. Recurring urinary tract infections are related to health and hygiene and are not typically considered external stressors.
B.   Correct. A recent move to a new city is an external stressor because it is an environmental change that can lead to feelings of stress and adjustment.
C.   Incorrect. Lack of nutritional knowledge is an internal stressor related to the client's knowledge and awareness, not an external factor.
D.   Incorrect. Feeling depressed is an internal emotional state and is not an external stressor.

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Correct Answer is A

Explanation

A. Correct.

Option A, reminding the client of the day and time often, aligns with this goal. Orienting the individual to time and place can help reduce confusion and disorientation commonly associated with delirium.
B. Incorrect. Offering the client several choices at mealtimes, might not directly address the issue of orientation and may potentially overwhelm the individual, exacerbating their confusion.

C. Incorrect. Discussing the client's fears and addressing their concerns is important for providing appropriate care and support.
D. Incorrect. Alternating daily caregivers may increase confusion for the client experiencing delirium. Consistency in care providers can be beneficial.

A. Peeling of the hands and feet B. Fever C. Beefy, red tongue D. Facial erythema

Correct Answer is B

Explanation

The correct answer is choiceB. Fever.

Choice A rationale:

Peeling of the hands and feet is not a typical manifestation of pertussis.This symptom is more commonly associated with conditions like Kawasaki disease.

Choice B rationale:

Fever is a common symptom in the early stages of pertussis, along with a mild cough and runny nose.

Choice C rationale:

A beefy, red tongue is not associated with pertussis.This symptom is more characteristic of scarlet fever.

Choice D rationale:

Facial erythema is not a typical symptom of pertussis.Pertussis primarily affects the respiratory system, causing severe coughing fits.

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A nurse is collecting data from a client who reports feeling stress. Which of the following should the nurse identify as an external stressor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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