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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Artificial flowers in the room: While artificial flowers can harbor dust and allergens, they are not a significant risk factor for infection in a neutropenic client with HIV. The primary concern is bacterial or fungal exposure, which is unlikely to be significantly affected by artificial flowers.Still, due to the need for a highly sterile environment for neutropenic patients, artificial flowers are typically avoided in clinical settings.

B. Room with negative airflow: A room with negative airflow is designed to prevent airborne pathogens from spreading outside the room. However, this measure is more relevant for clients with contagious respiratory infections (e.g., tuberculosis).

C. Meal tray with hard-boiled eggs: Hard-boiled eggs are generally safe for most clients. However, in a neutropenic client, the risk lies more in raw or undercooked eggs due to potential bacterial contamination (e.g., Salmonella). Hard-boiled eggs are fully cooked and less likely to pose a significant risk.

D. Meal tray with ice cream and fresh fruit: This choice presents a higher risk. Neutropenic clients should avoid fresh fruits (especially unwashed) due to potential bacterial and fungal contamination. Ice cream, although pasteurized, can also harbor bacteria if not handled properly.

A. Establish a patent airway for the client. B. Administer oxygen to the client. C. Place a pulse oximeter on the client's finger. D. Check the client's pulse rate.

Correct Answer is A

Explanation

A respiratory rate of 8 breaths per minute with shallow respirations and cyanosis indicates significant respiratory distress and inadequate oxygenation. The client's airway needs to be assessed and cleared to ensure a proper flow of air into the lungs. This can involve positioning the client appropriately, providing manual or mechanical assistance with ventilation, or using other airway management techniques as necessary.
While administering oxygen to the client and placing a pulse oximeter on the client's finger are important interventions to improve oxygenation and monitor oxygen saturation, they should not delay the immediate priority of establishing a patent airway.
Checking the client's pulse rate is also important and should be done in a timely manner, but it should not take precedence over ensuring a clear and open airway for the client.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has HIV and is neutropenic. Which of the following findings should the nurse identify as increasing the risk for the client to develop an infection?

Correct Answer is D

Explanation

A nurse is caring for a client who is cyanotic and has a respiratory rate of 8/min with shallow respirations. Which of the following is the priority action by the nurse?

Correct Answer is A

Explanation

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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?