In completing a focused assessment of a client who has completed treatment for Herpes zoster (shingles), what assessment data is most important for the practical nurse to obtain?
Pain scale.
Capillary refill.
Joint mobility.
Urine color.
The Correct Answer is A
A. Pain scale: Postherpetic neuralgia, persistent nerve pain following shingles, is a common complication. Assessing pain intensity, quality, and location helps guide pain management and evaluate recovery, making it the most critical data to obtain.
B. Capillary refill: Capillary refill assesses peripheral perfusion but is not directly affected by shingles or its treatment, making it less relevant for a focused post-shingles assessment.
C. Joint mobility: While joint mobility is important in general health assessments, shingles typically does not impair joint function. Monitoring mobility is not the priority in this context.
D. Urine color: Urine color is unrelated to shingles or its treatment in most cases. Assessing it does not provide essential information for evaluating post-shingles recovery.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Check the pedal pulse in the affected leg: Assessing circulation is important when vascular compromise is suspected, but a leg cramp during labor is typically due to muscle spasm, not circulatory problems. The priority is relieving discomfort through positioning.
B. Massage the calf and foot: Massaging the calf is contraindicated until a circulatory issue, such as a deep vein thrombosis, is ruled out. Manipulating the area could dislodge a clot if one were present, posing a serious risk.
C. Elevate the leg above the heart: Elevating the leg may reduce swelling but will not relieve a muscle cramp caused by strain or poor positioning during labor. It does not directly address the muscle tension responsible for the pain.
D. Extend the leg and flex the foot: This action stretches the gastrocnemius muscle and relieves the spasm causing the cramp. It is the safest and most effective immediate intervention for muscle cramps in laboring clients.
Correct Answer is C
Explanation
A. Perform monthly self-examination of breasts and testes: While self-examination can aid in early detection of cancer, it primarily addresses individual risk and does not prevent disease onset. It is important but secondary to interventions that reduce the risk of major illnesses.
B. Eat a diet high in fruits, vegetables, and whole grains: A healthy diet supports overall wellness. However, its impact on immediate morbidity and mortality is less pronounced than eliminating high-risk behaviors like tobacco use.
C. Completely stop the use of cigarette and tobacco products: Tobacco cessation is the most critical lifestyle modification because it significantly reduces the risk of multiple life-threatening conditions, including cardiovascular disease, cancer, and respiratory illnesses.
D. Avoid the midday sun and use sunscreen: Sun protection reduces the risk of skin cancer but is limited to specific populations and exposure patterns. While important, it is not as universally impactful on overall adult morbidity and mortality as stopping tobacco use.
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