A nurse is providing education to a client with shingles. Which statement by the nurse is correct?

"Shingles can be transmitted through direct contact with vesicles.”

"You can only get shingles if you've never had chickenpox.”

"The shingles vaccine has a 100% efficacy rate.”

"The herpes zoster vaccine is given to children under 10 years old.”

Answer and Explanation

The Correct Answer is B

Choice A rationale:

(Incorrect) Shingles, caused by the varicella-zoster virus, can be transmitted through direct contact with the fluid from the vesicles (blisters) of a person who has active shingles. However, it is important for the nurse to provide correct information to the client.

Choice B rationale:

(Correct) Shingles can only occur in individuals who have previously had chickenpox. After a person recovers from chickenpox, the virus remains dormant in the nerve tissues. Later in life, the virus can reactivate, leading to shingles. It is crucial for the nurse to emphasize this point to prevent any misunderstandings.

Choice C rationale:

(Incorrect) While the shingles vaccine is effective in reducing the risk of developing shingles, it does not have a 100% efficacy rate. The vaccine can, however, reduce the severity and duration of the illness if shingles still occur after vaccination.

Choice D rationale:

(Incorrect) The herpes zoster vaccine (shingles vaccine) is not given to children under 10 years old. It is recommended for adults aged 50 years and older or for individuals with certain risk factors.

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Free Nursing Study Resources

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

Explanation

Choice A rationale:

The nurse should not advise the patient to apply iodine, hydrogen peroxide, or alcohol to the wound. These substances can be irritating to the wound and delay the healing process.

Choice B rationale:

Cleaning and debriding the wound as soon as possible is an essential action to prevent infection and promote healing. Removing debris and foreign material from the wound reduces the risk of contamination and infection.

Choice C rationale:

Using non-sterile instruments for wound care is not appropriate. The nurse should emphasize the importance of using clean and sterile instruments to prevent introducing additional bacteria into the wound.

Choice D rationale:

Administering the Td vaccine (Tetanus and Diphtheria) for prophylaxis is a crucial action to protect the patient from tetanus, especially in contaminated wounds where tetanus spores might be present.

Choice E rationale:

Proper disposal of animal feces is crucial to avoid exposure to tetanus spores. Tetanus spores can be found in soil contaminated with animal feces and can enter the body through open wounds, leading to a serious and potentially fatal infection.

A. Monitor vital signs, pain level, and neurological status. B. Isolate the patient until all lesions are crusted over. C. Educate the patient and family about the disease process. D. Encourage oral hygiene and a soft diet if oral lesions are present.

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

Explanation

Choice A rationale:

Monitoring vital signs, pain level, and neurological status is important to assess the client's overall condition and response to treatment.

Choice B rationale:

Isolating the patient until all lesions are crusted over is not necessary for shingles, as it is not as highly contagious as chickenpox.

Choice C rationale:

Educating the patient and family about the disease process is essential to help them understand the condition, its course, and the necessary measures for management and prevention of complications.

Choice D rationale:

Encouraging oral hygiene and a soft diet is important, especially if the patient has oral lesions, to promote comfort and prevent secondary infections.

Choice E rationale:

Administering medications as prescribed, such as antiviral medications, can help reduce the severity and duration of the shingles outbreak.

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A nurse is providing education to a client with shingles. Which statement by the nurse is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(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)

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

Explanation

(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.

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

Explanation

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

A nurse is providing education to a client with shingles. Which statement by the nurse is correct?

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

Which intervention is essential for a nurse caring for a patient with chickenpox?

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

(ATI/HESI MCQ) A client with chickenpox asks the nurse about ways to relieve pruritus. What should the nurse recommend?

(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)