(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 D
Explanation
Choice A rationale:
Chickenpox and shingles are viral infections, and while they can cause systemic symptoms, they are not directly linked to heart disease.
Choice B rationale:
The complications of chickenpox go beyond bacterial skin infections. While bacterial superinfections are possible, the more severe complications are associated with the virus itself.
Choice C rationale:
Shingles is characterized by a localized rash along the distribution of a sensory nerve, not a generalized vesicular rash.
Choice D rationale:
Complications of both chickenpox and shingles include pneumonia, encephalitis (inflammation of the brain), and postherpetic neuralgia (persistent nerve pain following shingles) These complications can be serious and require medical attention.
Correct Answer is ["B","C","D","E"]
Explanation
Choice A rationale:
Young age. This statement is incorrect. While shingles is more common in older adults, it can still occur in individuals of any age. Young age is not a risk factor for developing shingles.
Choice B rationale:
Stress. This statement is correct. Stress weakens the immune system, making individuals more susceptible to shingles. Emotional or physical stress can trigger shingles in people who have already had chickenpox.
Choice C rationale:
Immunocompromised status. This statement is correct. Individuals with weakened immune systems, such as those with HIV, cancer, or taking immunosuppressive medications, have a higher risk of developing shingles because their bodies may have difficulty controlling the reactivation of the varicella-zoster virus.
Choice D rationale:
Trauma. This statement is correct. Physical trauma or injury to the skin can increase the risk of shingles in the affected area. The trauma can disrupt the nerve pathways and trigger the reactivation of the varicella-zoster virus.
Choice E rationale:
Allergic to gelatin or neomycin. This statement is correct. The varicella vaccine contains trace amounts of gelatin and neomycin. Individuals with severe allergies to these components should not receive the vaccine to avoid potential allergic reactions.
Tuberculosis.
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