A resident of an assisted living center reports having sharp pain on one side of the body, with patches of "blisters". The nurse notices vesicles on one side of the thorax, which follow a peripheral nerve pathway. Suspecting herpes zoster, the nurse immediately contacts the health care provider. Which is the reason for the prompt notification?

Early recognition is essential to treat the disorder.

Oral ulcers could prevent intake of adequate fluids.

Prompt notification prevents sexual transmission.

Early administration of the varicella vaccine is needed.

Answer and Explanation

The Correct Answer is A

A. Early recognition is essential to treat the disorder: Early recognition of herpes zoster is crucial to start antiviral therapy and reduce the risk of complications such as postherpetic neuralgia.

B. Oral ulcers could prevent intake of adequate fluids. This does not apply to herpes zoster, as the vesicles are usually not found in the mouth.

C. Prompt notification prevents sexual transmission. Herpes zoster is not sexually transmitted; it is caused by reactivation of varicella zoster virus.

D. Early administration of the varicella vaccine is needed. The varicella vaccine is not used to treat herpes zoster but rather to prevent chickenpox.

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Correct Answer is A

Explanation

A. Involuntary movements of the mouth and tongue: Dyskinesia, particularly tardive dyskinesia, involves involuntary movements, often of the mouth, tongue, and sometimes other parts of the body.
B. Abnormal breathing: This is not a typical manifestation of dyskinesia.
C. Migraine headache, hypertension: These symptoms are not associated with dyskinesia.
D. Severe flushing, headache, and tremors: These symptoms do not describe dyskinesia, although tremors can be seen in other movement disorders.

A. "Usually in about 2 hours, but the effects will return in 2 to 3 days." B. 'She will snap out of it in a day or two." C. "Usually in 8 to 10 hours." D. The manifestations may be permanent."

Correct Answer is C

Explanation

A. "Usually in about 2 hours, but the effects will return in 2 to 3 days." The acute effects of amphetamines typically last longer than 2 hours, and there's no consistent return of effects after 2 to 3 days.
B. "She will snap out of it in a day or two." This response is not accurate and lacks sensitivity. The effects of an overdose need careful medical monitoring and do not simply "snap out."
C. "Usually in 8 to 10 hours." The acute effects of an amphetamine overdose generally subside within 8 to 10 hours, depending on the amount taken and individual metabolism.
D. "The manifestations may be permanent." While severe complications from an overdose can be long-lasting, the acute effects typically subside within hours, not permanently.

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient who is being treated with antipsychotic medications. As part of the plan of care, the nurse monitors the patient for dyskinesia. What would the nurse assess with dyskinesia?

Correct Answer is A

Explanation

The mother of a young woman being treated for amphetamine overdose asks the nurse when the manifestations will subside. What would be the most correct answer by the nurse?

Correct Answer is C

Explanation

A patient, age 27, sustained thermal burns to 18% of her body surface area. After the first 72 hours, the nurse will have to observe for which most common cause of burn-related deaths?

What should the nurse do to decrease the patient's disorientation at night during the detoxification period?

The nurse is performing an initial assessment on an alcoholic patient. Which of the following actions by the nurse would best ensure honest answers?

What age of onset of alcohol consumption is most predictive of alcohol addiction?

A patient developed a severe contact dermatitis of the hands, arms, and lower legs after spending an afternoon picking strawberries. The patient states that the itching is severe and cannot keep from scratching. Which instruction will be helpful in managing the pruritus?

The patient with herpes zoster virus is asking the nurse about this condition. Which knowledge does the nurse use to base patient teaching on?

A 60-year-old man was admitted for cholecystitis that resulted in a cholecystectomy. On his third day of hospitalization, he begins to sweat profusely, tremble, and has a blood pressure of 160/100. Based on these findings, what focused assessment should the nurse complete?

After finding the patient with diabetes eating candy, the nurse reminds the patient that the candy will elevate blood sugar levels. The patient's response is: "It's only a little bit, and it won't do anything." Which defense mechanism is the patient using?