A nurse is educating a patient with chickenpox about their condition. Which statement by the nurse is appropriate?
"You should avoid contact with pregnant women, immunocompromised individuals, newborns, or people who have not had chickenpox or been vaccinated.”
"You can freely share personal items such as towels and utensils with others to promote social interaction.”
"It's okay to scratch the lesions if it helps reduce the itching sensation.”
"You can return to work or school as soon as you start feeling better.”
The Correct Answer is A
Choice A rationale:
The nurse should advise the patient with chickenpox to avoid contact with pregnant women, immunocompromised individuals, newborns, and people who have not had chickenpox or been vaccinated. Chickenpox is highly contagious and can be severe or even life-threatening for vulnerable populations. This precaution helps protect those who are at a higher risk of complications from the infection.
Choice B rationale:
Sharing personal items such as towels and utensils should be avoided during chickenpox. Chickenpox spreads through respiratory droplets and direct contact with fluid from the blisters. Sharing personal items can increase the risk of transmission to others.
Choice C rationale:
It is not appropriate for the nurse to recommend scratching the chickenpox lesions. Scratching can lead to secondary bacterial infections and scarring. The patient should be encouraged to use methods like calamine lotion or antihistamines to relieve itching.
Choice D rationale:
The patient should not return to work or school until all lesions are crusted over and they are no longer contagious. Typically, this occurs about 6-7 days after the rash first appears. Returning too early can increase the risk of spreading the virus to others.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Choice C indicates the need for further teaching because it contains inaccurate information. The BCG vaccine, which is used to prevent severe forms of tuberculosis in high-risk populations, can cause false-positive reactions to the Tuberculin Skin Test (TST) The TST is a common test used to detect exposure to TB, but it cannot differentiate between a previous BCG vaccination and an actual TB infection. The presence of a BCG scar or previous vaccination can lead to a positive TST without an active TB infection. Choices A and B are correct statements. The BCG vaccine does provide some protection against severe forms of TB and pulmonary TB. Choice D is also accurate; the BCG vaccine is administered intramuscularly.
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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