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 B

Explanation

Choice A rationale:

Administering the Td vaccine only if the wound is severe is not the correct response. Tetanus prophylaxis is recommended based on wound type and vaccination history, not just the severity of the wound.

Choice B rationale:

This is the correct response. Tetanus prophylaxis involves giving Tetanus Immunoglobulin (TIG) for immediate protection against tetanus toxin, along with the Tetanus and Diphtheria (Td) vaccine to promote long-term immunity. The decision to administer TIG and Td vaccine depends on the patient's wound type and their vaccination history.

Choice C rationale:

Tetanus prophylaxis is necessary even if the client received the DTP vaccine in childhood. The immunity from childhood vaccines may wane over time, and tetanus prophylaxis is recommended after potential exposure to the tetanus-causing bacteria.

Choice D rationale:

Giving the Td vaccine every 5 years is not the correct approach. The recommended schedule for Td booster doses is every 10 years, not every 5 years.

A. Administer the herpes zoster vaccine. B. Encourage contact with immunocompromised individuals. C. Avoid using cool compresses for comfort measures. D. Provide educational materials only to the patient.

Correct Answer is C

Explanation

Choice A rationale:

(Incorrect) The herpes zoster vaccine (shingles vaccine) is not administered to patients with chickenpox. The vaccine is recommended for those aged 50 years and older to prevent shingles in individuals who have previously had chickenpox.

Choice B rationale:

(Incorrect) Encouraging contact with immunocompromised individuals is not appropriate when caring for a patient with chickenpox. Immunocompromised individuals are more susceptible to severe complications from the varicella-zoster virus, so close contact should be avoided.

Choice C rationale:

(Correct) Using cool compresses is an essential comfort measure for patients with chickenpox. Cool compresses can help soothe the itching and discomfort caused by the chickenpox rash.

Choice D rationale:

(Incorrect) Providing educational materials only to the patient is not sufficient. It is important for the nurse to educate the patient's family members or caregivers about chickenpox precautions and care to prevent further transmission of the virus.

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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 with a contaminated wound asks the nurse, "What does tetanus prophylaxis involve?" Which response by the nurse is accurate?

Correct Answer is B

Explanation

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

Correct Answer is C

Explanation

(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 patient with shingles. Which of the following isolation precautions should the nurse implement for the patient?

(Select all that apply):. A nurse is providing wound care instructions to a patient who has a contaminated wound. Which actions should the nurse include in the instructions? (Select all that apply)

A nurse is providing education to a client with shingles. Which statement by the nurse is correct?

(Select all that apply): Which factors can increase the risk of developing shingles? Select all that apply.

(Quoted statement) A nurse is educating a client's family about chickenpox. The family asks, "What should we do if the child starts scratching the rash?" Which response by the nurse is appropriate?

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