A client has been diagnosed with herpes zoster present on the upper right side of the torso, extending around to the client's back. Which client statement indicates the need for further teaching regarding this diagnosis?

At least I know that when the rash is gone I won't have any more pain to deal with

I should use proper hand hygiene techniques to avoid spreading the virus

This infection is caused by the same virus that causes chicken pox

This is probably why I had stabbing pain on my upper back before I broke out with a rash

Answer and Explanation

The Correct Answer is A

Choice A reason: This statement indicates the need for further teaching, as it shows that the client does not understand the possible complication of postherpetic neuralgia, which is a chronic pain condition that can persist for months or years after the rash heals. The nurse should explain to the client that some people may experience this condition and that there are treatments available to manage the pain.

Choice B reason: This statement does not indicate the need for further teaching, as it shows that the client understands the importance of preventing the transmission of the virus to others, especially those who have not had chicken pox or the vaccine. The nurse should reinforce this behavior and remind the client to cover the rash with a dressing and avoid contact with pregnant women, newborns, and immunocompromised people.

Choice C reason: This statement does not indicate the need for further teaching, as it shows that the client knows the etiology of the infection. The nurse should confirm that the client is correct and explain that the virus remains dormant in the nerve cells after the initial infection and can reactivate later in life due to stress, aging, or other factors.

Choice D reason: This statement does not indicate the need for further teaching, as it shows that the client recognizes the prodromal symptom of the infection. The nurse should acknowledge that the client is correct and explain that the pain is caused by the inflammation of the nerve fibers where the virus resides. The nurse should also ask the client about the severity and frequency of the pain and provide appropriate interventions.

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Correct Answer is E

Explanation

Choice A reason: Visible clubbing of the fingers and toes is not a typical finding of PAD, but a sign of chronic hypoxia or lung disease. It refers to the enlargement and rounding of the nail beds due to increased blood flow to the distal tissues.

Choice B reason: Stasis ulcer on the lower leg is not a common finding of PAD, but a sign of venous insufficiency or chronic venous stasis. It refers to the breakdown of the skin due to poor venous drainage and increased pressure in the veins.

Choice C reason: Unequal peripheral pulses between the lower extremities is not a specific finding of PAD, but a sign of arterial obstruction or aneurysm. It refers to the difference in the strength or quality of the pulses palpated in the arteries of the legs.

Choice D reason: Pale edematous extremities is not a characteristic finding of PAD, but a sign of heart failure or lymphedema. It refers to the pallor and swelling of the limbs due to fluid accumulation in the interstitial spaces.

Choice E reason: Intermittent claudication is a classic finding of PAD, as it indicates the reduced blood flow and oxygen delivery to the muscles of the legs. It refers to the pain, cramping, or fatigue that occurs in the calves, thighs, or buttocks during exercise and is relieved by rest.

A. Use of sequential compression devices (SCDs) during times of rest B. Use of abductor pillow while in bed C. Keeping the heels elevated D. Opioid pain medications as ordered E. Early ambulation and leg exercises

Correct Answer is E

Explanation

Choice A reason: Use of sequential compression devices (SCDs) during times of rest is a helpful intervention to prevent DVT, as it improves the venous return and reduces the stasis of blood in the lower extremities. However, it is not the only or the most effective intervention, as it does not promote the active contraction of the leg muscles.

Choice B reason: Use of abductor pillow while in bed is a necessary intervention to prevent hip dislocation after total hip replacement, as it maintains the alignment and stability of the hip joint. However, it is not a specific intervention to prevent DVT, as it does not enhance the blood circulation or prevent the formation of clots.

Choice C reason: Keeping the heels elevated is a useful intervention to prevent pressure ulcers on the heels, as it reduces the friction and shear forces on the skin. However, it is not a relevant intervention to prevent DVT, as it does not affect the venous flow or prevent the clotting of blood.

Choice D reason: Opioid pain medications as ordered are an important intervention to manage the postoperative pain after total hip replacement, as they provide analgesia and sedation. However, they are not a direct intervention to prevent DVT, as they do not influence the blood coagulation or prevent the thrombus formation. In fact, they may increase the risk of DVT by causing respiratory depression, hypotension, and immobility.

Choice E reason: Early ambulation and leg exercises are the most effective interventions to prevent DVT, as they stimulate the contraction of the leg muscles and improve the blood flow in the veins. They also prevent the pooling and clotting of blood in the lower extremities.

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A client has been diagnosed with herpes zoster present on the upper right side of the torso, extending around to the client's back. Which client statement indicates the need for further teaching regarding this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is E

Explanation

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