A patient is concerned about receiving the varicella vaccine due to possible side effects. What should the nurse explain about the vaccine?

The varicella vaccine is not effective in preventing chickenpox.

Serious adverse events from the vaccine are common.

The vaccine has a high efficacy rate in preventing shingles.

The vaccine is not recommended for pregnant women.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

The varicella vaccine is not effective in preventing chickenpox. This statement is incorrect. The varicella vaccine is actually highly effective in preventing chickenpox. It contains a weakened form of the varicella-zoster virus, which stimulates the body's immune system to develop protection against the virus, reducing the risk of getting chickenpox.

Choice B rationale:

Serious adverse events from the vaccine are common. This statement is incorrect. Serious adverse events from the varicella vaccine are rare. Like all vaccines, there may be some mild side effects such as soreness at the injection site, fever, or a mild rash, but severe reactions are extremely uncommon.

Choice C rationale:

The vaccine has a high efficacy rate in preventing shingles. This statement is correct. The varicella vaccine not only helps prevent chickenpox but also reduces the risk of developing shingles later in life. Shingles is caused by the reactivation of the varicella-zoster virus, and the vaccine helps boost immunity to the virus, leading to a decreased likelihood of shingles.

Choice D rationale:

The vaccine is not recommended for pregnant women. This statement is generally correct. Pregnant women should avoid receiving the varicella vaccine because it is a live attenuated vaccine, and there is a theoretical risk of transmission to the fetus. If a woman is not immune to varicella and is planning to become pregnant, it's best to receive the vaccine before pregnancy.

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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.

A. "Apply corticosteroids topically to reduce inflammation.” B. "Use over-the-counter antibiotics to prevent secondary infection.” C. "Start antiviral drugs within 72 hours of rash onset.” D. "Consider topical capsaicin for neuropathic pain relief.”

Correct Answer is D

Explanation

Choice A rationale:

Topical corticosteroids can help reduce inflammation in various skin conditions, but they are not the best option for managing pain associated with shingles (herpes zoster) Corticosteroids primarily target inflammation and do not provide effective pain relief in neuropathic pain, which is characteristic of shingles.

Choice B rationale:

Antibiotics are not useful for managing the pain caused by shingles. Shingles is a viral infection, not a bacterial one, so antibiotics would not be effective in reducing pain or preventing secondary infection.

Choice C rationale:

Starting antiviral drugs, such as acyclovir, valacyclovir, or famciclovir, within 72 hours of rash onset is essential for managing shingles. These medications can help reduce the severity and duration of the illness and may also decrease the risk of developing complications like postherpetic neuralgia.

Choice D rationale:

Topical capsaicin is an appropriate option for neuropathic pain relief in shingles. Capsaicin, derived from chili peppers, works by desensitizing the nerve endings and reducing pain signals. However, it may cause a burning sensation initially, and the client should be advised on proper application and hand hygiene afterward.

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A patient is concerned about receiving the varicella vaccine due to possible side effects. What should the nurse explain about the vaccine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(Select all that apply): Which factors can increase the risk of developing shingles? Select all that apply.

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

Explanation

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

Correct Answer is D

Explanation

A client asks the nurse, "What are the complications associated with chickenpox and shingles?" Which of the following responses by the nurse is correct?

(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)

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

(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)

(Quoted statement) A nurse is educating a client's family about chickenpox. The family asks, "What should we do if the child starts scratching the rash?" Which response by the nurse is appropriate?

A nurse is educating a group of new parents about tetanus prevention. Which of the following statements is accurate regarding immunization against tetanus?

(Select all that apply) (ATI/HESI MCQ) A client with shingles has been prescribed antiviral drugs. The nurse should monitor the client for which of the following potential complications?

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