Several residents in a long term care facility have been diagnosed with herpes zoster. Which resident will require the closest observation for development of complications?

A resident with dementia who requires assistance eating.

A resident who is sexually active

A resident who is undergoing chemotherapy for breast cancer

A resident recovering from a hip fracture

Answer and Explanation

The Correct Answer is C

A. A resident with dementia who requires assistance eating: While this resident might have complications due to a weakened immune system, chemotherapy significantly increases the risk of complications from herpes zoster.

B. A resident who is sexually active: Sexual activity does not increase the risk of complications from herpes zoster.

C. A resident who is undergoing chemotherapy for breast cancer: Chemotherapy significantly compromises the immune system, making the resident more susceptible to severe complications from herpes zoster.

D. A resident recovering from a hip fracture: While recovering from a hip fracture is a stressor, it does not have as significant an impact on the immune system as chemotherapy.

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Correct Answer is A

Explanation

A. Keloid: Keloids are overgrowths of scar tissue that form at the site of a skin injury. They are more common in people with darker skin tones and are characterized by being raised, indurated, and shiny.
B. Nevus: A nevus (or mole) is a benign growth of melanocytes and does not typically present as a raised, shiny, and indurated scar.
C. Melanoma: Melanoma is a type of skin cancer that typically presents as a new, unusual growth or a change in an existing mole. It would not be expected to appear at a surgical incision site as described.
D. Angioma: An angioma is a benign tumor derived from blood vessels and would not present as a raised, shiny, and indurated scar.

A. Nausea B. Blackouts C. Hypertension D. Headaches

Correct Answer is A

Explanation

A. Nausea. Disulfiram causes an acute sensitivity to alcohol. When alcohol is consumed, it leads to an accumulation of acetaldehyde, causing unpleasant effects like severe nausea, vomiting, and headache, deterring the individual from drinking.
B. Blackouts. Blackouts are periods of memory loss due to heavy drinking but are not specifically induced by the combination of disulfiram and alcohol.
C. Hypertension. While disulfiram can cause cardiovascular effects, hypertension is not the primary or most severe side effect of consuming alcohol while on disulfiram.
D. Headaches. Headaches are indeed a part of the disulfiram-alcohol reaction, but the primary severe side effect leading to the aversion is nausea.

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Several residents in a long term care facility have been diagnosed with herpes zoster. Which resident will require the closest observation for development of complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 30-year-old African American had surgery 6 months ago and the incision site is now raised, indurated, and shiny. This is most likely which type of tissue growth?

Correct Answer is A

Explanation

What severe side effect will occur if an alcoholic patient consumes alcohol while taking disulfiram (Antabuse)?

Correct Answer is A

Explanation

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