A nurse is discussing the transmission cycle of VZV with a nursing student. Which statement by the student indicates a need for further education?

"Primary infection occurs when a person comes into contact with respiratory droplets.”

"Reactivation of VZV in the nerve cells leads to the onset of chickenpox.”

"The incubation period of VZV ranges from 10 to 21 days.”

"The risk of transmission is lower during reactivation compared to primary infection.”

Answer and Explanation

The Correct Answer is B

Choice A rationale:

The primary infection of VZV occurs through respiratory droplets, not when a person comes into contact with them. The virus is highly contagious and spreads through respiratory secretions.

Choice B rationale:

Reactivation of VZV in the nerve cells leads to the onset of shingles, not chickenpox. Chickenpox is the primary infection, and after recovery, the virus remains dormant in nerve cells and can reactivate as shingles later in life.

Choice C rationale:

The incubation period of VZV for chickenpox ranges from 10 to 21 days, which is accurate information.

Choice D rationale:

The risk of transmission during reactivation (shingles) is higher than during primary infection (chickenpox) Shingles can cause the development of vesicles containing the virus, which can be contagious if someone comes into direct contact with the fluid from the vesicles. Primary chickenpox, on the other hand, spreads through respiratory droplets and is more widespread during the initial infection.

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Correct Answer is B

Explanation

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.

A. Encouraging using sterile instruments for cutting umbilical cords. B. Promoting safe delivery practices in clean facilities. C. tetani spores. D. Educating on avoiding contact with soil or feces that may contain E. Suggesting regular booster doses of DTP vaccine during adulthood.

Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale:

Encouraging using sterile instruments for cutting umbilical cords is important in preventing tetanus as contaminated instruments can introduce the

C. tetani spores, leading to infection.

Choice B rationale:

Promoting safe delivery practices in clean facilities is crucial to prevent tetanus in newborns. Clean delivery facilities reduce the risk of exposure to

C. tetani spores, which can enter through unclean delivery practices.

Choice C rationale:

Advising against disposing of animal feces properly is not directly related to preventing tetanus. Tetanus is primarily caused by the introduction of

C. tetani spores into wounds, not through exposure to animal feces.

Choice D rationale:

Educating on avoiding contact with soil or feces that may contain

C. tetani spores is essential in preventing tetanus. The spores can be found in soil and feces, and direct contact with these sources increases the risk of infection.

Choice E rationale:

Suggesting regular booster doses of DTP vaccine during adulthood is an effective measure in preventing tetanus. The DTP vaccine provides immunity against tetanus, and regular boosters are recommended to maintain protection throughout life.

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A nurse is discussing the transmission cycle of VZV with a nursing student. Which statement by the student indicates a need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chickenpox expresses concern about the disease's transmission. Which statement by the nurse is appropriate?

Correct Answer is B

Explanation

(Select all that apply):. A nurse is teaching a community group about preventing tetanus. Which actions should the nurse include in the teaching? (Select all that apply)

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is teaching a community class on preventing chickenpox and shingles. Which measure should the nurse include in the presentation?

(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)

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

(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 client is seeking information about the varicella vaccine (Varivax) What should the nurse inform the client about the vaccine?

A nurse is caring for a client with chickenpox. Which nursing intervention should the nurse prioritize to prevent transmission of the virus?

(Quoted statement) A client with shingles asks the nurse about the best way to manage pain. Which response by the nurse is accurate?