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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Firm nodule with crust:
Suggests squamous cell carcinoma, not melanoma.
B. Pearly papule with an ulcerated center:
Classic for basal cell carcinoma, not melanoma.
C. Rough, dry and scaly:
Suggestive of actinic keratosis, a precursor to squamous cell carcinoma.
D. Irregularly shaped, irregular borders, brown, tan and black coloring:
This is typical of malignant melanoma, which often appears as an asymmetrical lesion with variegated color and irregular borders.
Correct Answer is B
Explanation
A. Percent of body surface burned:
Important for guiding fluid resuscitation, but airway and breathing always take priority in the ABCs.
B. Respiratory status:
Inhalation injury is a life-threatening complication in fire-related burns. Assess for stridor, soot in nares/mouth, and signs of respiratory distress first.
C. Review of chronic illnesses:
Relevant for overall care planning, but not an initial priority in the emergency phase.
D. Burn depth:
Guides long-term care but is secondary to airway and breathing in the acute setting.
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