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?

Administer analgesics for pain

Restrict visitors who have hot previously received a measles, mumps, and rubella vaccine.

Place the client in protective isolation.

Avoid the use of alcohol-based hand rubs.

Answer and Explanation

The Correct Answer is A

Choice A rationale: Pain management is a crucial aspect of care for a client with herpes zoster (shingles). Administering analgesics can help alleviate pain and improve the client's overall comfort.
Choice B rationale: Herpes zoster is not spread through respiratory droplets, so restricting visitors based on their vaccination status is not necessary.
Choice C rationale: Protective isolation is not required for herpes zoster, as it is not highly contagious.
Choice D rationale: There is no need to avoid alcohol-based hand rubs in the care of a client with herpes zoster.

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Correct Answer is A

Explanation

Choice A rationale: When removing personal protective equipment (PPE) after a procedure involving contact precautions, the nurse should remove the items in a specific order to minimize the risk of contamination. Gloves should be removed first because they are the most likely to be contaminated and can transfer microorganisms to other surfaces or PPE during removal.
Choice B rationale: The mask should be removed after gloves and gown. Removing the mask first could potentially contaminate the hands, leading to the risk of transferring microorganisms to the face during mask removal.
Choice C rationale: The gown should be removed after gloves and before the mask. Removing the gown too early could lead to potential contamination of the hands.
Choice D rationale: The face shield should be removed after gloves, mask, and gown. It provides additional protection for the face and should be retained until the end of the removal process to minimize the risk of contamination.

A. White- or flesh-colored papillary growths in the genital area B. Influenza-like symptoms C. Anuria D. Green penile discharge

Correct Answer is B

Explanation

Choice A rationale: white-or flesh-colored papillary growths in the genital region is a common finding in human papillomavirus (HPV) infection, not HSV 2 infection.
Choice B rationale: a patient with HSV 2 usually develop influenza-like symptoms such as headache, muscle aches, fever, and generalized body malaise. However, the above symptoms usually subside within a few days to weeks.
Choice C rationale: anuria refers to the absence of urine output indicating renal failure which is not associated with HSV 2 infection.
Choice D rationale: green penile discharge is associated with gonorrhea infection rather than HSV 2 infection.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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