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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Airborne precautions are used for infectious agents that spread through small respiratory droplets and remain suspended in the air for long periods. Shingles is not transmitted through the airborne route.
Choice B rationale:
Droplet precautions are used for infectious agents that spread through large respiratory droplets and have a limited range. Shingles is not transmitted through large respiratory droplets.
Choice C rationale:
This is the correct response. Contact precautions are implemented for patients with shingles (herpes zoster) because the virus spreads through direct contact with the rash or lesions.
Choice D rationale:
Standard precautions are used for all patients to prevent the transmission of infections from both recognized and unrecognized sources. However, for specific diseases like shingles, additional precautions like contact precautions are also required.
Correct Answer is C
Explanation
Choice A rationale:
Taking aspirin is not recommended for individuals with chickenpox, especially children, as it has been associated with an increased risk of Reye syndrome, a severe and potentially fatal condition affecting the brain and liver.
Choice B rationale:
Applying topical antibiotics is not a suitable recommendation for relieving pruritus (itching) associated with chickenpox. Topical antibiotics are used to treat bacterial skin infections, not pruritus.
Choice C rationale:
Using antihistamines is the most appropriate recommendation for relieving pruritus in chickenpox. Antihistamines block the effects of histamine, a chemical released during an allergic reaction or infection, and can help reduce itching.
Choice D rationale:
Increasing physical activity is not advised for a client with chickenpox, as this could lead to the spread of the virus to others and may worsen the symptoms and pruritus.
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