A client with shingles is worried about transmitting the disease to others. What statement by the client indicates understanding of the nurse's teaching?
"I should avoid contact with pregnant women, immunocompromised individuals, newborns, or people who have not had chickenpox or been vaccinated.”
"It's safe for me to have direct contact with my family members even if my lesions are not crusted over.”
"I don't need to worry about respiratory hygiene since shingles is not spread through respiratory droplets.”
"I can share personal items with others without any risk of transmission.”
The Correct Answer is A
Choice A rationale:
This statement indicates the client understands the nurse's teaching about shingles. The client should avoid contact with pregnant women, immunocompromised individuals, newborns, and those who have not had chickenpox or been vaccinated against it. Shingles is caused by the reactivation of the varicella-zoster virus, the same virus that causes chickenpox. Direct contact with shingles lesions can transmit the virus to susceptible individuals, leading to chickenpox in those who have not had it before.
Choice B rationale:
Direct contact with family members, especially if they are part of the vulnerable populations mentioned, should be avoided until the shingles lesions are crusted over. This is to prevent transmission of the virus to susceptible individuals.
Choice C rationale:
Respiratory hygiene is still important for individuals with shingles, even though the virus is primarily spread through contact with the lesions. Respiratory droplets can potentially transmit the virus to others, so it's essential to follow good hygiene practices.
Choice D rationale:
Sharing personal items should be avoided during shingles, as it can increase the risk of transmission to others who have not had chickenpox or been vaccinated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
Choice A rationale:
Surgery for extensive lung damage may be considered in very rare cases of complications from TB, but it is not an adjunctive measure commonly required for TB treatment. The primary treatment for TB involves antibiotic therapy and adjunctive measures to manage complications.
Choice B rationale:
Corticosteroids may be required as adjunctive therapy for pericarditis, a complication of TB that affects the lining around the heart. Corticosteroids help reduce inflammation and improve the patient's condition.
Choice C rationale:
Nutritional support is often necessary for patients with TB, as the disease can lead to malnutrition and weight loss. Adequate nutrition is crucial for supporting the immune system and facilitating recovery.
Choice D rationale:
Fluid therapy may be required for patients with TB who experience dehydration due to fever, night sweats, and reduced oral intake. Proper hydration helps maintain organ function and aids in the elimination of waste products.
Choice E rationale:
Pain management is essential for patients with TB, especially for those experiencing chest pain, which can be a symptom of the disease or a complication. Adequate pain control improves the patient's comfort and compliance with treatment.
Correct Answer is ["A"]
Explanation
Choice A rationale:
The most appropriate intervention for a client diagnosed with latent TB infection (LTBI) is observation for disease progression. Latent TB infection means that the individual has been infected with the tuberculosis bacteria but does not currently have active TB disease. In cases of LTBI, the bacteria are in a dormant state, and the person does not show any symptoms. The standard approach for LTBI management is to monitor the individual closely for any signs of disease progression. This may involve regular clinical assessments and follow-ups to detect the development of active TB. Initiating treatment (such as INH administration) is not recommended for all individuals with LTBI, as not everyone with latent infection will progress to active disease. The decision to treat depends on the individual's risk factors, clinical presentation, and other considerations. Selecting choice B (Sputum smear microscopy) is not appropriate for LTBI since this test is used to diagnose active TB disease, not latent infection. Choice C (Tuberculin skin test, TST) is used to identify individuals with LTBI, not as an intervention for those already diagnosed with LTBI. Choice D (INH administration) may be a treatment option for certain individuals with LTBI, but it is not the most appropriate intervention for all LTBI cases. Choice E (Contact tracing) is a strategy to identify and screen individuals who may have been exposed to active TB cases, not a direct intervention for LTBI management.
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