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.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
Choice A rationale:
Young age. This statement is incorrect. While shingles is more common in older adults, it can still occur in individuals of any age. Young age is not a risk factor for developing shingles.
Choice B rationale:
Stress. This statement is correct. Stress weakens the immune system, making individuals more susceptible to shingles. Emotional or physical stress can trigger shingles in people who have already had chickenpox.
Choice C rationale:
Immunocompromised status. This statement is correct. Individuals with weakened immune systems, such as those with HIV, cancer, or taking immunosuppressive medications, have a higher risk of developing shingles because their bodies may have difficulty controlling the reactivation of the varicella-zoster virus.
Choice D rationale:
Trauma. This statement is correct. Physical trauma or injury to the skin can increase the risk of shingles in the affected area. The trauma can disrupt the nerve pathways and trigger the reactivation of the varicella-zoster virus.
Choice E rationale:
Allergic to gelatin or neomycin. This statement is correct. The varicella vaccine contains trace amounts of gelatin and neomycin. Individuals with severe allergies to these components should not receive the vaccine to avoid potential allergic reactions.
Tuberculosis.
Correct Answer is D
Explanation
Choice A rationale:
Pregnant women should receive the Tdap vaccine during each pregnancy. This is a correct statement as vaccination during pregnancy helps provide protection to both the mother and the newborn against tetanus, diphtheria, and pertussis.
Choice B rationale:
The recommended vaccination schedule for adults includes a single dose of Tdap (tetanus, diphtheria, and acellular pertussis) vaccine, followed by a Td (tetanus and diphtheria) booster every 10 years. Three doses of DTP vaccine during adulthood are not part of the recommended schedule.
Choice C rationale:
Tetanus prophylaxis should be given to patients with all types of wounds, not just severe wounds. This statement is incorrect.
Choice D rationale:
The Tdap vaccine is not administered every 5 years during adulthood. As mentioned earlier, adults receive a single dose of Tdap and then a Td booster every 10 years.
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