(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 C

Explanation

Choice A rationale:

Taking aspirin is not recommended for individuals with chickenpox, especially children, as it has been associated with an increased risk of Reye syndrome, a severe and potentially fatal condition affecting the brain and liver.

Choice B rationale:

Applying topical antibiotics is not a suitable recommendation for relieving pruritus (itching) associated with chickenpox. Topical antibiotics are used to treat bacterial skin infections, not pruritus.

Choice C rationale:

Using antihistamines is the most appropriate recommendation for relieving pruritus in chickenpox. Antihistamines block the effects of histamine, a chemical released during an allergic reaction or infection, and can help reduce itching.

Choice D rationale:

Increasing physical activity is not advised for a client with chickenpox, as this could lead to the spread of the virus to others and may worsen the symptoms and pruritus.

A. "Apply corticosteroids topically to reduce inflammation.” B. "Use over-the-counter antibiotics to prevent secondary infection.” C. "Start antiviral drugs within 72 hours of rash onset.” D. "Consider topical capsaicin for neuropathic pain relief.”

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(ATI/HESI MCQ) A client with chickenpox asks the nurse about ways to relieve pruritus. What should the nurse recommend?

Correct Answer is C

Explanation

(Quoted statement) A client with shingles asks the nurse about the best way to manage pain. Which response by the nurse is accurate?

Correct Answer is D

Explanation

A patient is concerned about receiving the varicella vaccine due to possible side effects. What should the nurse explain about the vaccine?

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?

A client asks the nurse, "What are the complications associated with chickenpox and shingles?" Which of the following responses by the nurse is correct?

(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.

A nurse is caring for a patient with shingles. Which of the following isolation precautions should the nurse implement for the patient?

Which intervention is essential for a nurse caring for a patient with chickenpox?