(Select all that apply) A nurse is providing care to a client diagnosed with shingles. Which of the following complications are associated with shingles?
Congestive heart failure.
Bell's palsy.
Chronic obstructive pulmonary disease.
Postherpetic neuralgia.
Acute pancreatitis.
Correct Answer : B,D
Choice B rationale:
Bell's palsy is a known complication of shingles (herpes zoster) The varicella-zoster virus (VZV), which causes chickenpox, remains dormant in the body and can reactivate as shingles later in life. Shingles can affect the facial nerve, leading to Bell's palsy, characterized by facial muscle weakness or paralysis on one side of the face.
Choice D rationale:
Postherpetic neuralgia is another complication associated with shingles. It is a persistent, severe pain that continues after the rash has healed, caused by nerve damage during the shingles infection. Choices A, C, and E rationales: Congestive heart failure (choice A), chronic obstructive pulmonary disease (choice C), and acute pancreatitis (choice E) are not directly related to shingles. These conditions are not commonly known as complications of shingles or the varicella-zoster virus infection.
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 B rationale:
The symptoms described in the scenario, such as fever, headache, malaise, anorexia, pharyngitis, and the progression of a generalized pruritic rash from macules to papules to vesicles to pustules to crusts, are indicative of varicella-zoster virus (VZV) infection, commonly known as chickenpox. Otitis media (choice B) can be a complication of chickenpox, especially in children.
Choice A rationale:
Chronic kidney disease (choice A) is not a common complication of chickenpox. It is more commonly associated with conditions like diabetes and hypertension.
Choice C rationale:
Rheumatoid arthritis (choice C) is an autoimmune condition and is not a known complication of chickenpox.
Choice D rationale:
Type 2 diabetes (choice D) is not a common complication of chickenpox. Diabetes can increase the risk of infection, but it is not directly related to chickenpox.
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