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

A recent move to a new city

Report feeling depressed

Lack of nutritional knowledge

Recurring urinary tract infections

Answer and Explanation

The Correct Answer is A

Stressors can be categorized as external or internal. External stressors are factors or events in the environment that can cause stress.
In this case, the recent move to a new city is an external stressor because it is an event that has occurred outside of the client and is influencing their current state of stress. Moving to a new city can bring about significant changes and challenges, such as adjusting to a new environment, finding new social connections, and adapting to unfamiliar surroundings.
B. Feeling depressed is an internal stressor because it relates to the client's emotional state or mental health condition. Depression can be caused by various factors, such as biochemical imbalances, life circumstances, or genetic predispositions.

C. Lack of nutritional knowledge: This is an internal stressor because it refers to the client's lack of knowledge or awareness regarding nutrition. While the lack of nutritional knowledge can contribute to stress, it is an internal factor that can be addressed through education and learning.
D. While recurring urinary tract infections can be stressful for the client, they are considered an internal stressor because they involve a physical condition or health issue within the client's body. Addressing and managing the infections would involve medical interventions and possibly lifestyle modifications.

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Correct Answer is A

Explanation

Apeer-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.

A. Elevated temperature B. Lethargy C. Decreased abdominal girth D. Bradycardia

Correct Answer is A

Explanation

A nurse caring for a school-age child who has appendicitis should monitor for several manifestations of a perforated appendix and report to the provider. According to my sources, one of the major complications of appendicitis is the perforation of the appendix, which can lead to peritonitis, abscess formation, or portal pylephlebitis. Perforation generally occurs 24 hours after the onset of pain. Symptoms include a fever of 37.7⁰C or greater, a toxic appearance, and continued abdominal pain or tenderness.

B- Lethargy is not mentioned as a manifestation of a perforated appendix.

C- Decreased abdominal girth is not mentioned as a manifestation of a perforated appendix.

D- Bradycardia, which refers to a slower than normal heart rate, is also not mentioned as a manifestation of a perforated appendix.

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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?

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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?

Correct Answer is A

Explanation

A nurse is caring for a school-age child who has appendicitis. For which of the following findings should the nurse monitor as a manifestation of a perforated appendix and report to the provider?

Correct Answer is A

Explanation

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