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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Instructing the client to hold the drainage bag at waist height when ambulating is incorrect because the drainage bag should always be kept below the level of the bladder to prevent urine from flowing back into the bladder, which could lead to a urinary tract infection (UTI).
B. Collecting a sterile specimen from the urinary drainage bag is incorrect because urine in the drainage bag is not considered sterile. If a sterile specimen is needed, it should be obtained by cleaning the catheter's sampling port with an antiseptic solution and withdrawing urine directly from the port using a sterile syringe.
C. Securing the tubing with adhesive tape to the lower abdomen is correct because it helps prevent accidental pulling or tugging on the catheter, which could cause discomfort or dislodgement. Properly securing the tubing also helps maintain a continuous flow of urine and reduces the risk of infection.
D. Coiling the tubing on the bed above the collection bag is incorrect because it can cause urine to flow back into the bladder, increasing the risk of infection and compromising the effectiveness of the drainage system. The tubing should be kept below the level of the bladder to ensure proper drainage.
Correct Answer is A
Explanation
A. Correct. Reducing salt intake is an important dietary modification for managing hypertension.
A limit of 2 grams per day is in line with recommended guidelines.
B. Incorrect. The recommended amount of exercise for managing hypertension is at least 150 minutes of moderate-intensity aerobic activity per week, not just 15 minutes twice a week.
C. Incorrect. Alcohol consumption should be limited or moderated, and the client should be cautious about alcohol interactions with blood pressure medication.
D. Incorrect. The blood pressure goal for individuals with hypertension is often set lower, around 130 over 80 or even lower, to reduce the risk of cardiovascular complications.
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