(Select all that apply) (ATI/HESI MCQ) A client with shingles has been prescribed antiviral drugs. The nurse should monitor the client for which of the following potential complications?
Postherpetic neuralgia.
Cranial nerve palsies.
Bacterial superinfection.
Reye syndrome.
Eye involvement.
Correct Answer : A,B,E
Choice A rationale:
Postherpetic neuralgia is a potential complication of shingles. It occurs when nerve pain persists even after the rash has healed and can be a long-term and debilitating condition.
Choice B rationale:
Cranial nerve palsies can be a complication of shingles when the herpes zoster virus affects the cranial nerves, leading to neurological symptoms and complications.
Choice C rationale:
Bacterial superinfection is not a common complication of shingles. Shingles is caused by a viral infection, and while bacterial superinfection can occur if there is a secondary bacterial infection of the skin lesions, it is not a primary concern.
Choice D rationale:
Reye syndrome is not associated with shingles or its treatment. Reye syndrome is a rare but serious condition that primarily affects children recovering from viral infections, particularly those who have taken aspirin.
Choice E rationale:
Eye involvement is a potential complication of shingles, particularly if the herpes zoster virus affects the ophthalmic nerve, leading to eye pain, redness, and sometimes vision problems. Immediate medical attention is required in such cases to prevent complications that could lead to vision loss.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The nurse should recommend applying calamine lotion to soothe and dry the chickenpox lesions. Calamine lotion has a soothing effect on the skin and can help reduce the itching associated with chickenpox. It also helps to dry out the lesions, which may aid in the healing process. However, it is essential to advise the family not to apply calamine lotion on open sores or areas with broken skin to avoid potential irritation.
Choice B rationale:
Giving aspirin to a child with chickenpox is not recommended. Aspirin has been associated with an increased risk of Reye's syndrome in children with viral infections, including chickenpox. Reye's syndrome is a rare but potentially life-threatening condition that affects the brain and liver.
Choice C rationale:
Antiviral drugs, such as acyclovir, are often prescribed for severe cases of chickenpox or for individuals at high risk of complications. These drugs can help shorten the duration of the illness and reduce the severity of symptoms. They are not to be avoided to prevent side effects, as the benefits generally outweigh the potential risks.
Choice D rationale:
Allowing the child to play outside may not be the best approach to distract them from itching. It is crucial to prevent the child from scratching the rash to avoid secondary bacterial infections and scarring. Engaging the child in indoor activities and providing distractions that do not involve scratching would be a safer approach.
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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