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
Isolate children who have varicella until the vesicles have formed crusts.
Isolating children who have varicella, also known as chickenpox, until the vesicles (blisters) have formed crusts is an important infection control measure. Varicella is highly contagious, and the fluid-filled vesicles can easily spread the virus to others. Keeping the child isolated until the vesicles have crusted over helps prevent the spread of the disease.
Children who have erythema infectious, commonly known as fifth disease in (option A) is incorrect because they, do not require short-term antibiotic therapy. Fifth disease is a viral infection caused by parvovirus B19 and is usually a self-limiting condition that resolves on its own without specific treatment.
Administration of childhood immunizations, such as the MMR (measles, mumps, rubella) vaccine in (option C) is incorrect because it, does not prevent exanthem subitem, also known as roseola infantum. Roseola infantum is usually a mild viral illness that primarily affects infants and young children. It is caused by human herpesvirus 6 (HHV-6) or human herpesvirus 7 (HHV-7) and is characterized by high fever followed by a rash.
Restricting fluids for children who have pertussis (whooping cough) in (option D) is not appropriate. In fact, it is important to encourage adequate fluid intake to prevent dehydration, especially in children who may have difficulty eating or drinking due to persistent coughing spells. Pertussis is a bacterial infection, and treatment typically involves antibiotics and supportive care.
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