(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.

Answer and Explanation

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.

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Correct Answer is ["B","D","E"]

Explanation

Choice A rationale:

The nurse should not advise the patient to apply iodine, hydrogen peroxide, or alcohol to the wound. These substances can be irritating to the wound and delay the healing process.

Choice B rationale:

Cleaning and debriding the wound as soon as possible is an essential action to prevent infection and promote healing. Removing debris and foreign material from the wound reduces the risk of contamination and infection.

Choice C rationale:

Using non-sterile instruments for wound care is not appropriate. The nurse should emphasize the importance of using clean and sterile instruments to prevent introducing additional bacteria into the wound.

Choice D rationale:

Administering the Td vaccine (Tetanus and Diphtheria) for prophylaxis is a crucial action to protect the patient from tetanus, especially in contaminated wounds where tetanus spores might be present.

Choice E rationale:

Proper disposal of animal feces is crucial to avoid exposure to tetanus spores. Tetanus spores can be found in soil contaminated with animal feces and can enter the body through open wounds, leading to a serious and potentially fatal infection.

A. Monitor vital signs, pain level, and neurological status. B. Isolate the patient until all lesions are crusted over. C. Educate the patient and family about the disease process. D. Encourage oral hygiene and a soft diet if oral lesions are present.

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.

View Question and Answer

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(Select all that apply): Which factors can increase the risk of developing shingles? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(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)

Correct Answer is ["B","D","E"]

Explanation

(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 nurse is teaching a community class on preventing chickenpox and shingles. Which measure should the nurse include in the presentation?

A nurse is caring for a client with chickenpox. Which nursing intervention should the nurse prioritize to prevent transmission of the virus?

(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?

(ATI/HESI MCQ) Which laboratory test is useful in confirming the diagnosis of chickenpox?

(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?

A nurse is educating a group of new parents about tetanus prevention. Which of the following statements is accurate regarding immunization against tetanus?