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 ["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.

A. "Both chickenpox and shingles can lead to heart disease.” B. "The only complication of chickenpox is bacterial skin infections.” C. "Shingles can result in a generalized vesicular rash.” D. "Complications of chickenpox and shingles include pneumonia, encephalitis, and postherpetic neuralgia.”

Correct Answer is D

Explanation

Choice A rationale:

Chickenpox and shingles are viral infections, and while they can cause systemic symptoms, they are not directly linked to heart disease.

Choice B rationale:

The complications of chickenpox go beyond bacterial skin infections. While bacterial superinfections are possible, the more severe complications are associated with the virus itself.

Choice C rationale:

Shingles is characterized by a localized rash along the distribution of a sensory nerve, not a generalized vesicular rash.

Choice D rationale:

Complications of both chickenpox and shingles include pneumonia, encephalitis (inflammation of the brain), and postherpetic neuralgia (persistent nerve pain following shingles) These complications can be serious and require medical attention.

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

Correct Answer is D

Explanation

A nurse is discussing the transmission cycle of VZV with a nursing student. Which statement by the student indicates a need for further education?

A client with chickenpox expresses concern about the disease's transmission. Which statement by the nurse is appropriate?

A client with a contaminated wound asks the nurse, "What does tetanus prophylaxis involve?" Which response by the nurse is accurate?

(ATI/HESI MCQ) Which laboratory test is useful in confirming the diagnosis of chickenpox?

(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)

(Select all that apply) A nurse is providing care to a client diagnosed with shingles. Which of the following complications are associated with shingles?