(Select all that apply):. A nurse is teaching a community group about preventing tetanus. Which actions should the nurse include in the teaching? (Select all that apply)

Encouraging using sterile instruments for cutting umbilical cords.

Promoting safe delivery practices in clean facilities.

tetani spores.

Educating on avoiding contact with soil or feces that may contain

Suggesting regular booster doses of DTP vaccine during adulthood.

Answer and Explanation

Correct Answer : A,B,D,E

Choice A rationale:

Encouraging using sterile instruments for cutting umbilical cords is important in preventing tetanus as contaminated instruments can introduce the

C. tetani spores, leading to infection.

Choice B rationale:

Promoting safe delivery practices in clean facilities is crucial to prevent tetanus in newborns. Clean delivery facilities reduce the risk of exposure to

C. tetani spores, which can enter through unclean delivery practices.

Choice C rationale:

Advising against disposing of animal feces properly is not directly related to preventing tetanus. Tetanus is primarily caused by the introduction of

C. tetani spores into wounds, not through exposure to animal feces.

Choice D rationale:

Educating on avoiding contact with soil or feces that may contain

C. tetani spores is essential in preventing tetanus. The spores can be found in soil and feces, and direct contact with these sources increases the risk of infection.

Choice E rationale:

Suggesting regular booster doses of DTP vaccine during adulthood is an effective measure in preventing tetanus. The DTP vaccine provides immunity against tetanus, and regular boosters are recommended to maintain protection throughout life.

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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.

A. "Tetanus prophylaxis includes administering Td vaccine only if the wound is severe.” B. "Tetanus prophylaxis involves giving TIG and Td vaccine depending on wound type and vaccination history.” C. "Tetanus prophylaxis is not necessary if you received the DTP vaccine in childhood.” D. "Tetanus prophylaxis consists of giving Td vaccine every 5 years to maintain immunity.”

Correct Answer is B

Explanation

Choice A rationale:

Administering the Td vaccine only if the wound is severe is not the correct response. Tetanus prophylaxis is recommended based on wound type and vaccination history, not just the severity of the wound.

Choice B rationale:

This is the correct response. Tetanus prophylaxis involves giving Tetanus Immunoglobulin (TIG) for immediate protection against tetanus toxin, along with the Tetanus and Diphtheria (Td) vaccine to promote long-term immunity. The decision to administer TIG and Td vaccine depends on the patient's wound type and their vaccination history.

Choice C rationale:

Tetanus prophylaxis is necessary even if the client received the DTP vaccine in childhood. The immunity from childhood vaccines may wane over time, and tetanus prophylaxis is recommended after potential exposure to the tetanus-causing bacteria.

Choice D rationale:

Giving the Td vaccine every 5 years is not the correct approach. The recommended schedule for Td booster doses is every 10 years, not every 5 years.

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(Select all that apply):. A nurse is teaching a community group about preventing tetanus. Which actions should the nurse include in the teaching? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(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.

Correct Answer is ["A","C","D","E"]

Explanation

A client with a contaminated wound asks the nurse, "What does tetanus prophylaxis involve?" Which response by the nurse is accurate?

Correct Answer is B

Explanation

Which intervention is essential for a nurse caring for a patient with chickenpox?

A nurse is discussing the transmission cycle of VZV with a nursing student. Which statement by the student indicates a need for further education?

A nurse is providing education to a client with shingles. Which statement by the nurse is correct?

(Select all that apply):. A nurse is providing wound care instructions to a patient who has a contaminated wound. Which actions should the nurse include in the instructions? (Select all that apply)

(Quoted statement) A nurse is educating a client's family about chickenpox. The family asks, "What should we do if the child starts scratching the rash?" Which response by the nurse is appropriate?

(Select all that apply) A nurse is providing care to a client diagnosed with shingles. Which of the following complications are associated with shingles?

A client is seeking information about the varicella vaccine (Varivax) What should the nurse inform the client about the vaccine?