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 ["A","B","C","E"]
Explanation
Choice A rationale:
MDR-TB stands for multidrug-resistant tuberculosis, and it is resistant to at least two of the most potent first-line anti-TB drugs, isoniazid (INH), and rifampicin (RIF) This resistance makes the treatment of MDR-TB more challenging and requires the use of second-line drugs.
Choice B rationale:
XDR-TB stands for extensively drug-resistant tuberculosis, and it is resistant to all first-line anti-TB drugs (INH and RIF) and at least one of the second-line injectable drugs (e.g., amikacin, kanamycin, or capreomycin) XDR-TB is even more challenging to treat than MDR-TB and requires the use of third-line drugs.
Choice C rationale:
RR-TB refers to rifampicin-resistant tuberculosis. It is resistant to rifampicin alone or in combination with other drugs but still susceptible to isoniazid. Rifampicin resistance is a critical indicator for diagnosing MDR-TB.
Choice D rationale:
This statement is incorrect. Drug-resistant TB is not more common in infants and children. It can affect individuals of any age, especially those who have received inadequate or inappropriate treatment for TB, leading to the development of drug resistance.
Choice E rationale:
This statement is correct. Drug-resistant TB requires more prolonged treatment compared to drug-sensitive TB. Treatment for drug-resistant TB can take months to years and often involves a combination of second and third-line drugs, which may have more side effects and require careful monitoring.
Hepatitis.
.
Correct Answer is A
Explanation
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.
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