(Select all that apply): Which factors can increase the risk of developing shingles? Select all that apply.
Young age.
Stress.
Immunocompromised status.
Trauma.
Allergic to gelatin or neomycin.
Correct Answer : B,C,D,E
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A rationale:
Airborne precautions are used for infectious agents that spread through small respiratory droplets and remain suspended in the air for long periods. Shingles is not transmitted through the airborne route.
Choice B rationale:
Droplet precautions are used for infectious agents that spread through large respiratory droplets and have a limited range. Shingles is not transmitted through large respiratory droplets.
Choice C rationale:
This is the correct response. Contact precautions are implemented for patients with shingles (herpes zoster) because the virus spreads through direct contact with the rash or lesions.
Choice D rationale:
Standard precautions are used for all patients to prevent the transmission of infections from both recognized and unrecognized sources. However, for specific diseases like shingles, additional precautions like contact precautions are also required.
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