(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.
Monitor vital signs, pain level, and neurological status.
Isolate the patient until all lesions are crusted over.
Educate the patient and family about the disease process.
Encourage oral hygiene and a soft diet if oral lesions are present.
Correct Answer : A,C,D,E
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Varivax is not administered as a single dose during adulthood. The vaccine is given as two doses, usually separated by 4 to 8 weeks, to ensure adequate protection.
Choice B rationale:
Varivax can reduce the risk of developing shingles, especially in individuals who had chickenpox and received the vaccine. While it may not completely prevent shingles, it can lessen its severity.
Choice C rationale:
This is the correct response. Varivax is a live attenuated vaccine, which means it contains weakened forms of the varicella-zoster virus that causes chickenpox. It stimulates the immune system to produce a protective response without causing the disease.
Choice D rationale:
Varivax is not recommended only for healthcare workers. It is recommended for certain groups, including children, adolescents, and adults who have not had chickenpox or received the vaccine. Healthcare workers might be among the targeted groups due to their increased risk of exposure, but it is not limited to them.
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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