(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 B
Explanation
Choice A rationale:
Stating that "chickenpox is not contagious once the fever is gone" is incorrect information. Chickenpox is still contagious until all the lesions are crusted over.
Choice B rationale:
The statement "You can spread the virus by scratching the lesions" is accurate. Scratching the chickenpox lesions can cause the fluid from the blisters to be released, and this fluid contains the varicella-zoster virus, which can then infect others.
Choice C rationale:
Stating that "chickenpox can only be transmitted through respiratory droplets" is incorrect. While respiratory droplets are a common mode of transmission, direct contact with the fluid from the lesions is also a significant mode of transmission.
Choice D rationale:
Saying that "the virus can survive on surfaces for up to 24 hours" is incorrect. The varicella-zoster virus is relatively fragile and cannot survive for extended periods on surfaces outside the body. It is primarily transmitted through direct contact or respiratory droplets.
Correct Answer is ["B","D"]
Explanation
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.
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