A client with chickenpox expresses concern about the disease's transmission. Which statement by the nurse is appropriate?

"Don't worry; chickenpox is not contagious once the fever is gone.”

"You can spread the virus by scratching the lesions.”

"Chickenpox can only be transmitted through respiratory droplets.”

"The virus can survive on surfaces for up to 24 hours.”

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Stating that "chickenpox is not contagious once the fever is gone" is incorrect information. Chickenpox is still contagious until all the lesions are crusted over.

Choice B rationale:

The statement "You can spread the virus by scratching the lesions" is accurate. Scratching the chickenpox lesions can cause the fluid from the blisters to be released, and this fluid contains the varicella-zoster virus, which can then infect others.

Choice C rationale:

Stating that "chickenpox can only be transmitted through respiratory droplets" is incorrect. While respiratory droplets are a common mode of transmission, direct contact with the fluid from the lesions is also a significant mode of transmission.

Choice D rationale:

Saying that "the virus can survive on surfaces for up to 24 hours" is incorrect. The varicella-zoster virus is relatively fragile and cannot survive for extended periods on surfaces outside the body. It is primarily transmitted through direct contact or respiratory droplets.

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Correct Answer is D

Explanation

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.

A. "Apply corticosteroids topically to reduce inflammation.” B. "Use over-the-counter antibiotics to prevent secondary infection.” C. "Start antiviral drugs within 72 hours of rash onset.” D. "Consider topical capsaicin for neuropathic pain relief.”

Correct Answer is D

Explanation

Choice A rationale:

Topical corticosteroids can help reduce inflammation in various skin conditions, but they are not the best option for managing pain associated with shingles (herpes zoster) Corticosteroids primarily target inflammation and do not provide effective pain relief in neuropathic pain, which is characteristic of shingles.

Choice B rationale:

Antibiotics are not useful for managing the pain caused by shingles. Shingles is a viral infection, not a bacterial one, so antibiotics would not be effective in reducing pain or preventing secondary infection.

Choice C rationale:

Starting antiviral drugs, such as acyclovir, valacyclovir, or famciclovir, within 72 hours of rash onset is essential for managing shingles. These medications can help reduce the severity and duration of the illness and may also decrease the risk of developing complications like postherpetic neuralgia.

Choice D rationale:

Topical capsaicin is an appropriate option for neuropathic pain relief in shingles. Capsaicin, derived from chili peppers, works by desensitizing the nerve endings and reducing pain signals. However, it may cause a burning sensation initially, and the client should be advised on proper application and hand hygiene afterward.

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A client with chickenpox expresses concern about the disease's transmission. Which statement by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks the nurse, "What are the complications associated with chickenpox and shingles?" Which of the following responses by the nurse is correct?

Correct Answer is D

Explanation

(Quoted statement) A client with shingles asks the nurse about the best way to manage pain. Which response by the nurse is accurate?

Correct Answer is D

Explanation

(Select all that apply):. A nurse is teaching a community group about preventing tetanus. Which actions should the nurse include in the teaching? (Select all that apply)

(Select all that apply): A nurse is caring for a client with shingles. Which interventions should the nurse include in the client's care? Select all that apply.

A nurse is caring for a client with chickenpox. Which nursing intervention should the nurse prioritize to prevent transmission of the virus?

(Select all that apply) (ATI/HESI MCQ) A client with shingles has been prescribed antiviral drugs. The nurse should monitor the client for which of the following potential complications?

A nurse is teaching a community class on preventing chickenpox and shingles. Which measure should the nurse include in the presentation?

A client with chickenpox expresses concern about the disease's transmission. Which statement by the nurse is appropriate?

(ATI/HESI MCQ) Which laboratory test is useful in confirming the diagnosis of chickenpox?

Which intervention is essential for a nurse caring for a patient with chickenpox?