A client presents with a prodrome of pain, tingling, burning, or itching in the affected dermatome. The nurse observes a unilateral, clustered, vesicular rash that follows the course of the sensory nerve. The rash involves the thoracic nerve. Which of the following complications should the nurse monitor for in this client?

Choice A rationale:

The nurse should not advise the patient to apply iodine, hydrogen peroxide, or alcohol to the wound. These substances can be irritating to the wound and delay the healing process.

Choice B rationale:

Cleaning and debriding the wound as soon as possible is an essential action to prevent infection and promote healing. Removing debris and foreign material from the wound reduces the risk of contamination and infection.

Choice C rationale:

Using non-sterile instruments for wound care is not appropriate. The nurse should emphasize the importance of using clean and sterile instruments to prevent introducing additional bacteria into the wound.

Choice D rationale:

Administering the Td vaccine (Tetanus and Diphtheria) for prophylaxis is a crucial action to protect the patient from tetanus, especially in contaminated wounds where tetanus spores might be present.

Choice E rationale:

Proper disposal of animal feces is crucial to avoid exposure to tetanus spores. Tetanus spores can be found in soil contaminated with animal feces and can enter the body through open wounds, leading to a serious and potentially fatal infection.

Choice A rationale:

(Incorrect) Shingles, caused by the varicella-zoster virus, can be transmitted through direct contact with the fluid from the vesicles (blisters) of a person who has active shingles. However, it is important for the nurse to provide correct information to the client.

Choice B rationale:

(Correct) Shingles can only occur in individuals who have previously had chickenpox. After a person recovers from chickenpox, the virus remains dormant in the nerve tissues. Later in life, the virus can reactivate, leading to shingles. It is crucial for the nurse to emphasize this point to prevent any misunderstandings.

Choice C rationale:

(Incorrect) While the shingles vaccine is effective in reducing the risk of developing shingles, it does not have a 100% efficacy rate. The vaccine can, however, reduce the severity and duration of the illness if shingles still occur after vaccination.

Choice D rationale:

(Incorrect) The herpes zoster vaccine (shingles vaccine) is not given to children under 10 years old. It is recommended for adults aged 50 years and older or for individuals with certain risk factors.