The nurse in a high school clinic is aware of an unusually high incidences of cold sores among the student population. Which information from the nurse will be the most helpful in controlling the spread of the causative virus, HSV-1?
Any student who has not been infected needs to get immunized immediately.
All students need to stop sharing lip products, drinks, and foods.
Infected students need to stay out of school until the lesion is crusted over.
Students with an active lesion need to eat at a specific isolation table.
The Correct Answer is B
A. "Any student who has not been infected needs to get immunized immediately."
There is no vaccine for HSV-1, so immunization is not an option.
B. "All students need to stop sharing lip products, drinks, and foods."
HSV-1 spreads through direct contact with saliva or contaminated objects, so avoiding sharing is key to prevention.
C. "Infected students need to stay out of school until the lesion is crusted over."
This is not a standard requirement for school attendance, and HSV-1 can be transmitted before lesions are visible.
D. "Students with an active lesion need to eat at a specific isolation table."
HSV-1 is not typically transmitted through casual airborne exposure; isolation tables are unnecessary and stigmatizing.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Intense pain:
Psoriasis can be itchy or mildly sore, but intense pain is not characteristic unless lesions are cracked/infected.
B. Lesions along the pathways of nerve endings:
Describes herpes zoster, not psoriasis.
C. Serous drainage:
Psoriatic lesions are typically dry unless secondarily infected.
D. Silvery, white scales:
Classic sign of psoriasis - raised, red patches with a silvery scale.
Correct Answer is B
Explanation
A. Decreased metabolic rate:
Burns cause an increase, not decrease, in metabolic rate due to the hypermetabolic state post-injury.
B. Increased capillary permeability:
This is a hallmark of burn injuries. Damaged capillaries leak fluid into interstitial spaces, leading to fluid and electrolyte imbalance.
C. Normal electrolyte levels:
Electrolyte levels are often abnormal in burn patients due to fluid shifts and tissue damage.
D. Excessive fluid intake:
Overhydration can be harmful, but it is not a typical cause of the initial fluid imbalance seen in burns.
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