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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choiced. "Soiled dressings should be placed in a biohazard trash receptacle.".
Choice A rationale:
For a client who has Clostridium difficile, hand hygiene should be performed with soap and water, not an alcohol-based rub, as alcohol does not effectively kill C. difficile spores.
Choice B rationale:
Droplet precautions typically require wearing a mask, not necessarily a gown and gloves. Gown and gloves are more commonly associated with contact precautions.
Choice C rationale:
Following a blood spill, a bleach solution with a ratio of 1 to 10 is recommended, not 1 to 20. This higher concentration ensures effective disinfection.
Choice D rationale:
Placing soiled dressings in a biohazard trash receptacle is correct. This prevents the spread of infection and ensures proper disposal of contaminated materials.
Correct Answer is A
Explanation
A. Correct. MRSA is spread through direct contact with infected skin or surfaces. Wearing gloves when providing care to a client with MRSA helps prevent the spread of the bacteria.
B. Incorrect. The use of HEPA filters and negative air pressure is typically reserved for airborne infections such as tuberculosis. MRSA is primarily spread through direct contact.
C. Incorrect. Negative air pressure is not typically necessary for preventing the spread of MRSA, which is primarily spread through contact.
D. Incorrect. Wearing a mask when out of the room is not a standard precaution for MRSA, which is not primarily transmitted through the airborne route.
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