What is the primary goal of the nursing interventions for TB patients?

Choice A rationale:

Monitor vital signs, fluid intake and output, weight, and skin integrity. This statement is correct. When caring for a patient with chickenpox, monitoring vital signs can help detect any signs of complications like fever. Fluid intake and output, weight, and skin integrity are important to assess the patient's hydration status and the progression of the rash.

Choice B rationale:

Administer medications as prescribed and monitor for adverse effects. This statement is correct. The nurse should give antiviral medications if prescribed to help shorten the duration of the illness and reduce its severity. Monitoring for any adverse effects from the medications is essential for patient safety.

Choice C rationale:

Encourage contact with pregnant women and immunocompromised individuals to build immunity. This statement is incorrect. Encouraging contact with pregnant women and immunocompromised individuals is not appropriate because chickenpox is highly contagious and can pose serious risks to these vulnerable populations. The nurse should advise the patient to avoid contact with them until they are no longer infectious.

Choice D rationale:

Advise the patient to avoid contact with those who have had chickenpox or been vaccinated. This statement is partially correct. The patient should avoid contact with individuals who have not had chickenpox or have not been vaccinated against it to prevent the spread of the disease. However, vaccinated individuals are less likely to transmit the virus than those with active chickenpox.

Choice E rationale:

Isolate the patient until all lesions are crusted over to prevent transmission to others. This statement is correct. Isolating the patient until all the lesions are crusted over is an important infection control measure to prevent the spread of the varicella-zoster virus to others. Once the lesions are crusted, the patient is no longer contagious.

Choice A rationale:

The nurse should monitor vital signs, pain level, neurological status, and eye function for a client with shingles to assess for any complications or worsening of the condition. Vital signs may indicate signs of infection, pain level may help assess the effectiveness of pain management, neurological status can indicate any neurological complications, and eye function is important as shingles affecting the ophthalmic nerve can lead to eye complications.

Choice B rationale:

Administering medications as prescribed is crucial to manage the symptoms and complications of shingles. Antiviral medications can help reduce the severity and duration of the outbreak, while pain medications may be necessary to alleviate discomfort. The nurse should also monitor for adverse effects to ensure the client's safety during treatment.

Choice D rationale:

Isolating the patient until all lesions are crusted over is necessary to prevent the spread of the varicella-zoster virus, which causes shingles. Direct contact with vesicles can lead to transmission of the virus to susceptible individuals, particularly those who have not had chickenpox or received the varicella vaccine.

Choice E rationale:

Providing comfort measures is essential in managing the symptoms of shingles. Cool compresses can help relieve pain and inflammation, loose clothing can prevent irritation of the affected area, distraction techniques can divert the client's attention from discomfort, and relaxation methods can help reduce stress and promote healing.

Choice C rationale:

Encouraging the client to scratch the affected area is not appropriate care for shingles. Scratching can lead to skin damage, increase the risk of infection, and potentially worsen the condition. It is essential to advise against scratching and promote gentle care of the affected area instead.