The patient with herpes zoster virus is asking the nurse about this condition. Which knowledge does the nurse use to base patient teaching on?
Herpes zoster virus usually is permanently disabling to healthy adults.
The pain experienced by most patients is typically described as "dull and aching."
There is usually a rash that occurs in the thoracic region.
Analgesics are often prescribed for pain; however, steroids are usually avoided because of the immune system suppression.
The Correct Answer is C
A. Herpes zoster virus usually is permanently disabling to healthy adults. Herpes zoster (shingles) can cause significant pain and discomfort, but it is not typically permanently disabling to healthy adults.
B. The pain experienced by most patients is typically described as "dull and aching." The pain associated with herpes zoster is usually described as sharp, burning, or stabbing rather than dull and aching.
C. There is usually a rash that occurs in the thoracic region. The rash associated with herpes zoster often appears in a dermatomal distribution, commonly in the thoracic region, following a nerve pathway on one side of the body.
D. Analgesics are often prescribed for pain; however, steroids are usually avoided because of the immune system suppression. While analgesics are commonly prescribed for pain management in herpes zoster, steroids may be used in certain cases to reduce inflammation, particularly if there is nerve involvement. The use of steroids should be carefully considered based on the patient’s overall health and immune status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Alogia: Alogia refers to poverty of speech or a reduction in the amount of speech, not to hallucinations.
B. Disordered thinking: Disordered thinking involves a disruption in logical thought processes but does not specifically describe interacting with non-existent entities.
C. Hallucination: A hallucination is a sensory perception (in this case, visual and possibly auditory) in the absence of an external stimulus. Talking to and arranging furniture for a deceased brother fits this definition.
D. Anhedonia: Anhedonia refers to the inability to experience pleasure, not to hallucinations or disordered perceptions.
Correct Answer is B
Explanation
A. "What we say can be secret. What I write in the chart is available to the health team." This response lacks clarity about legal and ethical obligations.
B. "I am required to report any intent to hurt yourself or others." This response clearly communicates the legal and ethical obligation to protect the patient and others from harm, while also acknowledging the importance of patient confidentiality in other situations.
C. "Conversations between patient and nurse are confidential." This is true, but it does not address exceptions such as harm to self or others.
D. "I can't help you unless you trust me." This does not address the patient's concerns about confidentiality directly.
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