A client asks the nurse, "What are the complications associated with chickenpox and shingles?" Which of the following responses by the nurse is correct?
"Both chickenpox and shingles can lead to heart disease.”
"The only complication of chickenpox is bacterial skin infections.”
"Shingles can result in a generalized vesicular rash.”
"Complications of chickenpox and shingles include pneumonia, encephalitis, and postherpetic neuralgia.”
The Correct Answer is D
Choice A rationale:
Chickenpox and shingles are viral infections, and while they can cause systemic symptoms, they are not directly linked to heart disease.
Choice B rationale:
The complications of chickenpox go beyond bacterial skin infections. While bacterial superinfections are possible, the more severe complications are associated with the virus itself.
Choice C rationale:
Shingles is characterized by a localized rash along the distribution of a sensory nerve, not a generalized vesicular rash.
Choice D rationale:
Complications of both chickenpox and shingles include pneumonia, encephalitis (inflammation of the brain), and postherpetic neuralgia (persistent nerve pain following shingles) These complications can be serious and require medical attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale:
Encouraging using sterile instruments for cutting umbilical cords is important in preventing tetanus as contaminated instruments can introduce the
C. tetani spores, leading to infection.
Choice B rationale:
Promoting safe delivery practices in clean facilities is crucial to prevent tetanus in newborns. Clean delivery facilities reduce the risk of exposure to
C. tetani spores, which can enter through unclean delivery practices.
Choice C rationale:
Advising against disposing of animal feces properly is not directly related to preventing tetanus. Tetanus is primarily caused by the introduction of
C. tetani spores into wounds, not through exposure to animal feces.
Choice D rationale:
Educating on avoiding contact with soil or feces that may contain
C. tetani spores is essential in preventing tetanus. The spores can be found in soil and feces, and direct contact with these sources increases the risk of infection.
Choice E rationale:
Suggesting regular booster doses of DTP vaccine during adulthood is an effective measure in preventing tetanus. The DTP vaccine provides immunity against tetanus, and regular boosters are recommended to maintain protection throughout life.
Correct Answer is ["A","C","D","E"]
Explanation
Choice A rationale:
Monitoring vital signs, pain level, and neurological status is important to assess the client's overall condition and response to treatment.
Choice B rationale:
Isolating the patient until all lesions are crusted over is not necessary for shingles, as it is not as highly contagious as chickenpox.
Choice C rationale:
Educating the patient and family about the disease process is essential to help them understand the condition, its course, and the necessary measures for management and prevention of complications.
Choice D rationale:
Encouraging oral hygiene and a soft diet is important, especially if the patient has oral lesions, to promote comfort and prevent secondary infections.
Choice E rationale:
Administering medications as prescribed, such as antiviral medications, can help reduce the severity and duration of the shingles outbreak.
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