A nurse is caring for a patient diagnosed with chickenpox. What interventions should the nurse implement to manage the patient's condition effectively? Select all that apply.
Monitor vital signs, fluid intake and output, weight, and skin integrity.
Administer medications as prescribed and monitor for adverse effects.
Encourage contact with pregnant women and immunocompromised individuals to build immunity.
Advise the patient to avoid contact with those who have had chickenpox or been vaccinated.
Isolate the patient until all lesions are crusted over to prevent transmission to others.
Correct Answer : A,B,E
Choice A rationale:
Monitor vital signs, fluid intake and output, weight, and skin integrity. This statement is correct. When caring for a patient with chickenpox, monitoring vital signs can help detect any signs of complications like fever. Fluid intake and output, weight, and skin integrity are important to assess the patient's hydration status and the progression of the rash.
Choice B rationale:
Administer medications as prescribed and monitor for adverse effects. This statement is correct. The nurse should give antiviral medications if prescribed to help shorten the duration of the illness and reduce its severity. Monitoring for any adverse effects from the medications is essential for patient safety.
Choice C rationale:
Encourage contact with pregnant women and immunocompromised individuals to build immunity. This statement is incorrect. Encouraging contact with pregnant women and immunocompromised individuals is not appropriate because chickenpox is highly contagious and can pose serious risks to these vulnerable populations. The nurse should advise the patient to avoid contact with them until they are no longer infectious.
Choice D rationale:
Advise the patient to avoid contact with those who have had chickenpox or been vaccinated. This statement is partially correct. The patient should avoid contact with individuals who have not had chickenpox or have not been vaccinated against it to prevent the spread of the disease. However, vaccinated individuals are less likely to transmit the virus than those with active chickenpox.
Choice E rationale:
Isolate the patient until all lesions are crusted over to prevent transmission to others. This statement is correct. Isolating the patient until all the lesions are crusted over is an important infection control measure to prevent the spread of the varicella-zoster virus to others. Once the lesions are crusted, the patient is no longer contagious.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Using multiple drugs to treat TB is not primarily done to reduce the cost of treatment. While cost considerations are essential in healthcare, the main reason for employing multiple drugs is to prevent drug resistance and improve treatment outcomes.
Choice B rationale:
The rationale for using multiple drugs to treat TB is to minimize the risk of drug resistance. TB is caused by Mycobacterium tuberculosis, and the bacteria can develop resistance to single-drug treatments quite rapidly. Using a combination of drugs with different mechanisms of action makes it harder for the bacteria to become resistant to all drugs simultaneously, ensuring a more effective treatment.
Choice C rationale:
While using multiple drugs may help achieve a quicker cure, the primary reason for combining drugs in TB treatment is to prevent drug resistance. Faster cure is a secondary benefit, but the prevention of drug-resistant strains is of paramount importance in TB management.
Choice D rationale:
Avoiding potential drug interactions is an essential consideration in any medical treatment, but it is not the primary reason for using multiple drugs in TB treatment. The main focus is on preventing drug resistance and increasing treatment success.
Correct Answer is C
Explanation
Choice A rationale:
"I should take my medications regularly and complete the full course of therapy" is a correct statement. TB treatment involves multiple drugs taken for an extended period, typically 6 to 9 months, to ensure complete eradication of the bacteria and prevent drug resistance.
Choice B rationale:
"I will report any adverse effects of the medications, such as skin rash or eye inflammation" is a correct statement. TB medications can have side effects, and it's crucial for the patient to report any adverse reactions to their healthcare provider for appropriate management.
Choice C rationale:
"I can stop taking the medications once I start feeling better" is an incorrect statement. TB treatment requires completing the full course of therapy, even if the patient's symptoms improve. Stopping treatment prematurely can lead to treatment failure and the development of drug-resistant TB.
Choice D rationale:
"I understand that the treatment may require surgery if there is extensive lung damage" is a correct statement. In some cases of TB, particularly if there is significant lung damage or complications, surgical intervention may be necessary.
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