(ATI/HESI MCQ) A client with chickenpox asks the nurse about ways to relieve pruritus. What should the nurse recommend?
Taking aspirin.
Applying topical antibiotics.
Using antihistamines.
Increasing physical activity.
The Correct Answer is C
Choice A rationale:
Taking aspirin is not recommended for individuals with chickenpox, especially children, as it has been associated with an increased risk of Reye syndrome, a severe and potentially fatal condition affecting the brain and liver.
Choice B rationale:
Applying topical antibiotics is not a suitable recommendation for relieving pruritus (itching) associated with chickenpox. Topical antibiotics are used to treat bacterial skin infections, not pruritus.
Choice C rationale:
Using antihistamines is the most appropriate recommendation for relieving pruritus in chickenpox. Antihistamines block the effects of histamine, a chemical released during an allergic reaction or infection, and can help reduce itching.
Choice D rationale:
Increasing physical activity is not advised for a client with chickenpox, as this could lead to the spread of the virus to others and may worsen the symptoms and pruritus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
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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