A nurse is assessing a client who presents with a prodrome of fever, headache, malaise, anorexia, and pharyngitis. The nurse observes a generalized pruritic rash that progresses from macules to papules to vesicles to pustules to crusts, starting on the face and trunk and spreading to the extremities. The number of lesions varies from a few to hundreds. Which of the following complications should the nurse be aware of?
Chronic kidney disease.
Otitis media.
Rheumatoid arthritis.
Type 2 diabetes.
The Correct Answer is B
Choice B rationale:
The symptoms described in the scenario, such as fever, headache, malaise, anorexia, pharyngitis, and the progression of a generalized pruritic rash from macules to papules to vesicles to pustules to crusts, are indicative of varicella-zoster virus (VZV) infection, commonly known as chickenpox. Otitis media (choice B) can be a complication of chickenpox, especially in children.
Choice A rationale:
Chronic kidney disease (choice A) is not a common complication of chickenpox. It is more commonly associated with conditions like diabetes and hypertension.
Choice C rationale:
Rheumatoid arthritis (choice C) is an autoimmune condition and is not a known complication of chickenpox.
Choice D rationale:
Type 2 diabetes (choice D) is not a common complication of chickenpox. Diabetes can increase the risk of infection, but it is not directly related to chickenpox.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice B rationale:
The symptoms described in the scenario, such as fever, headache, malaise, anorexia, pharyngitis, and the progression of a generalized pruritic rash from macules to papules to vesicles to pustules to crusts, are indicative of varicella-zoster virus (VZV) infection, commonly known as chickenpox. Otitis media (choice B) can be a complication of chickenpox, especially in children.
Choice A rationale:
Chronic kidney disease (choice A) is not a common complication of chickenpox. It is more commonly associated with conditions like diabetes and hypertension.
Choice C rationale:
Rheumatoid arthritis (choice C) is an autoimmune condition and is not a known complication of chickenpox.
Choice D rationale:
Type 2 diabetes (choice D) is not a common complication of chickenpox. Diabetes can increase the risk of infection, but it is not directly related to chickenpox.
Correct Answer is C
Explanation
Choice A rationale:
Complete Blood Count (CBC) is not useful in confirming the diagnosis of chickenpox. CBC provides information about the number and types of blood cells but is not specific to chickenpox diagnosis.
Choice B rationale:
Stool culture is not relevant in confirming the diagnosis of chickenpox. Stool culture is used to identify gastrointestinal infections, and it is not associated with chickenpox.
Choice C rationale:
Tzanck smear and viral culture from vesicle fluid are useful in confirming the diagnosis of chickenpox. Tzanck smear involves taking a sample from the vesicle and staining it to identify multinucleated giant cells, which are characteristic of varicella-zoster virus (VZV) infection. Viral culture involves growing the VZV in a lab to confirm the presence of the virus.
Choice D rationale:
Urinalysis is not relevant in confirming the diagnosis of chickenpox. Urinalysis is used to assess kidney function and detect urinary tract infections, but it does not help in diagnosing chickenpox.
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