A client asks the nurse about the preventive measures for measles. Which intervention should the nurse recommend for measles prevention?
Encourage the client to avoid exposure to sunlight.
Advise the client to avoid contact with people who have a common cold.
Suggest receiving the live attenuated measles vaccine as part of the MMR combination.
Recommend taking antibiotics prophylactically.
The Correct Answer is C
Choice A rationale:
Encouraging the client to avoid exposure to sunlight is not a preventive measure for measles. Measles is a viral infection transmitted through respiratory droplets, not sunlight exposure. Sunlight exposure is important for the synthesis of vitamin D and has no direct relation to measles prevention.
Choice B rationale:
Advising the client to avoid contact with people who have a common cold is not a preventive measure for measles. While respiratory infections might have similar symptoms to measles, the viruses causing them are different, and avoiding people with a common cold would not protect against measles.
Choice C rationale:
Suggesting the client receive the live attenuated measles vaccine as part of the MMR combination is the correct preventive measure for measles. The MMR vaccine contains live but weakened forms of measles, mumps, and rubella viruses. It provides immunity against these diseases and is highly effective in preventing measles infection.
Choice D rationale:
Recommending taking antibiotics prophylactically is not appropriate for measles prevention. Measles is a viral infection, and antibiotics are only effective against bacterial infections, not viral ones. Prophylactic use of antibiotics can lead to antibiotic resistance and is not indicated for preventing measles.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
The client's statement about washing their eyes with sterile saline solution as prescribed is appropriate and does not require immediate nursing intervention. It reflects proper eye hygiene, which is essential in managing conjunctivitis associated with measles.
Choice B rationale:
The client's statement about avoiding bright light to prevent corneal ulceration is appropriate. Measles-related conjunctivitis can lead to sensitivity to light, and avoiding bright light can help reduce discomfort and prevent corneal damage. This statement does not indicate a need for immediate nursing intervention.
Choice C rationale:
The client's statement about applying eye drops as prescribed to reduce irritation is appropriate. Eye drops can help alleviate the discomfort and irritation associated with conjunctivitis. There is no need for immediate nursing intervention based on this statement.
Choice D rationale:
The client's statement about using topical anesthetics on their eyes to reduce discomfort requires immediate nursing intervention. Topical anesthetics should be avoided in cases of viral conjunctivitis, as they can delay healing and potentially worsen the condition. The nurse should intervene to educate the client about the potential harm of using topical anesthetics and ensure they follow the prescribed treatment plan for conjunctivitis.
Correct Answer is B
Explanation
Choice B rationale:
The nurse accurately informs the client that they are contagious for about a week after the rash appears. The period of contagiousness starts a few days before the rash appears and continues until approximately 4 days after the rash has emerged. Measles is highly contagious, and transmission occurs through respiratory droplets from coughing or sneezing.
Choice A rationale:
This statement is incorrect. The client is contagious a few days before the rash appears and not only from the onset of the rash until two days afterward.
Choice C rationale:
This statement is incorrect. The client is contagious during the prodrome stage, which is before the appearance of the rash, as well as during the exanthematous stage when the rash is present.
Choice D rationale:
This statement is incorrect. The fever subsides during the prodrome stage, but the client remains contagious during the early part of the exanthematous stage when the rash is present.
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