A nurse is formulating a teaching plan about herpes zoster for a group of older adults at a community center. The nurse should include which of the following information in the plan?

Herpes zoster is easily spread to family and friends who have had chickenpox in the past.

The lesions are contagious to others only if they are draining.

Many clients experience pain in the affected area for weeks after the lesions have resolved.

vesicles will appear followed by pain and or itching.

Answer and Explanation

The Correct Answer is C

Choice A rationale: Herpes zoster itself is not easily spread, but the varicella-zoster virus can be transmitted to individuals who have not had chickenpox or the varicella vaccine.
Choice B rationale: While the virus can be spread through contact with the fluid from shingles blisters, it can also be spread by respiratory droplets from the infected person.
Choice C rationale: Postherpetic neuralgia is a common complication of herpes zoster (shingles), and it involves persistent pain in the affected area even after the lesions have healed.
Choice D rationale: This statement is accurate, but it does not address the persistent pain (postherpetic neuralgia) that can occur after the lesions resolve.

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Correct Answer is D

Explanation

Choice A rationale: individuals with extensive burn wounds are highly likely to develop metabolic acidosis and not metabolic alkalosis due to the increased risk of tissue hypoxia, increased lactic acid levels, and renal failure.
Choice B rationale: low hemoglobin is not an expected finding in individuals with extensive burn wounds but instead increased hemoglobin levels are expected due to hemoconcentration resulting from excessive fluid loss.
Choice C rationale: A patient with extensive burn wounds is expected to have hypovolemia and not hypervolemia due to increased fluid loss from the burned tissues and increased capillary permeability.
Choice D rationale: hyperkalemia is a common finding in individuals with extensive burn wounds due to massive cell destruction which releases potassium from the intracellular compartment to the extracellular compartment.

A. Hemoglobin 16g/dL B. INR 0.9 C. Serum albumin 3.2 g/dL D. WBC count 8,000/mm

Correct Answer is C

Explanation

Choice A rationale: Hemoglobin level reflects the oxygen-carrying capacity of the blood but is not a direct indicator of nutritional status.
Choice B rationale: International Normalized Ratio (INR) is a measure of blood clotting, and a normal value does not directly impact wound healing.
Choice C rationale: Serum albumin is a marker of nutritional status, and a low level (hypoalbuminemia) can adversely affect wound healing. Adequate protein intake is essential for collagen synthesis and overall tissue repair.
Choice D rationale: White blood cell count is an indicator of immune response and infection but does not directly affect wound healing in the absence of infection.

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A nurse is formulating a teaching plan about herpes zoster for a group of older adults at a community center. The nurse should include which of the following information in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is reviewing the medical record of a client who has an extensive burn injury. Which of the following laboratory results should the nurse expect?

Correct Answer is D

Explanation

A nurse is caring for a client who has a stage 3 pressure ulcer. The nurse should recognize that which of the following laboratory findings will affect wound healing?

Correct Answer is C

Explanation

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A nurse is planning care for an older adult client who has herpes zoster. Which of the following interventions should the nurse include in the plan?