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.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
Choice A rationale:
(Correct) Excluding infected individuals from school or work until all lesions are crusted over is an important measure in preventing the spread of chickenpox. This helps to reduce the risk of transmission to others.
Choice B rationale:
(Correct) Practicing good hand hygiene is essential to prevent the spread of the varicella-zoster virus, which causes chickenpox and shingles. Regular handwashing helps reduce the likelihood of virus transmission through contact with contaminated surfaces or infected individuals.
Choice C rationale:
(Incorrect) Sharing personal items such as towels with infected individuals can increase the risk of spreading the virus. It is crucial for the nurse to discourage such practices during the community class.
Choice D rationale:
(Incorrect) While reporting cases of chickenpox or shingles to local health authorities is important for surveillance purposes, it is not a preventive measure for individual protection.
Correct Answer is ["B","D"]
Explanation
Choice B rationale:
Bell's palsy is a known complication of shingles (herpes zoster) The varicella-zoster virus (VZV), which causes chickenpox, remains dormant in the body and can reactivate as shingles later in life. Shingles can affect the facial nerve, leading to Bell's palsy, characterized by facial muscle weakness or paralysis on one side of the face.
Choice D rationale:
Postherpetic neuralgia is another complication associated with shingles. It is a persistent, severe pain that continues after the rash has healed, caused by nerve damage during the shingles infection. Choices A, C, and E rationales: Congestive heart failure (choice A), chronic obstructive pulmonary disease (choice C), and acute pancreatitis (choice E) are not directly related to shingles. These conditions are not commonly known as complications of shingles or the varicella-zoster virus infection.
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