The nurse is caring for an older adult client who states that they have a rash that is burning and painful. Upon assessment the nurse notes round, red, vesicles on one dermatome on the right side. What is the most important discharge teaching?
Instruct the client to receive the varicella vaccine once the virus has resolved.
Instruct the client to complete all antibiotics prescribed by the provider.
Instruct the client to receive the zoster vaccine once the virus has resolved
Instruct the client to refrain from sexual activity for 30 days after discharge.
The Correct Answer is C
A. The varicella (chickenpox) vaccine is not appropriate for an older adult who already had chickenpox and is now presenting with shingles (herpes zoster).
B. Antibiotics are not indicated; shingles is caused by a virus (varicella-zoster virus), not bacteria.
C. The zoster vaccine is recommended after recovery to help prevent future episodes and reduce the risk of complications such as postherpetic neuralgia.
D. Shingles is not sexually transmitted, so avoiding sexual activity is unnecessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The varicella (chickenpox) vaccine is not appropriate for an older adult who already had chickenpox and is now presenting with shingles (herpes zoster).
B. Antibiotics are not indicated; shingles is caused by a virus (varicella-zoster virus), not bacteria.
C. The zoster vaccine is recommended after recovery to help prevent future episodes and reduce the risk of complications such as postherpetic neuralgia.
D. Shingles is not sexually transmitted, so avoiding sexual activity is unnecessary.
Correct Answer is B
Explanation
A. Frequent neurological checks are important, but the priority action in this case is to prevent transmission of suspected meningitis, which is highly contagious.
B. The client’s symptoms (sudden fever, headache, vomiting, nuchal rigidity, altered level of consciousness) strongly suggest bacterial meningitis. The priority is to initiate droplet precautions immediately to protect staff and others from infection.
C. Preparing for a lumbar puncture is part of diagnostic confirmation, but infection control must be established first to prevent spread.
D. Oral fluids are not appropriate in a drowsy client with altered consciousness due to the risk of aspiration.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.