A client has been diagnosed with herpes zoster present on the upper right side of the torso, extending around to the client's back. Which client statement indicates the need for further teaching regarding this diagnosis?

At least I know that when the rash is gone I won't have any more pain to deal with

I should use proper hand hygiene techniques to avoid spreading the virus

This infection is caused by the same virus that causes chicken pox

This is probably why I had stabbing pain on my upper back before I broke out with a rash

Answer and Explanation

The Correct Answer is A

Choice A reason: This statement indicates the need for further teaching, as it shows that the client does not understand the possible complication of postherpetic neuralgia, which is a chronic pain condition that can persist for months or years after the rash heals. The nurse should explain to the client that some people may experience this condition and that there are treatments available to manage the pain.

Choice B reason: This statement does not indicate the need for further teaching, as it shows that the client understands the importance of preventing the transmission of the virus to others, especially those who have not had chicken pox or the vaccine. The nurse should reinforce this behavior and remind the client to cover the rash with a dressing and avoid contact with pregnant women, newborns, and immunocompromised people.

Choice C reason: This statement does not indicate the need for further teaching, as it shows that the client knows the etiology of the infection. The nurse should confirm that the client is correct and explain that the virus remains dormant in the nerve cells after the initial infection and can reactivate later in life due to stress, aging, or other factors.

Choice D reason: This statement does not indicate the need for further teaching, as it shows that the client recognizes the prodromal symptom of the infection. The nurse should acknowledge that the client is correct and explain that the pain is caused by the inflammation of the nerve fibers where the virus resides. The nurse should also ask the client about the severity and frequency of the pain and provide appropriate interventions.

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Correct Answer is A

Explanation

Choice A reason: This statement is incorrect and indicates the need for further education. Failure to rescue is not the ability of the nurse to save a client's life, but the inability or failure to do so. It is defined as the death of a hospitalized client who experienced a potentially preventable complication.

Choice B reason: This statement is correct and does not indicate the need for further education. Failure to rescue includes the failure of the nurse to report changes in a client's condition to the provider, which could delay the diagnosis and treatment of the complication.

Choice C reason: This statement is correct and does not indicate the need for further education. Failure to rescue is the failure to recognize a client's condition is deteriorating, which could lead to missed opportunities for intervention and prevention of adverse outcomes.

Choice D reason: This statement is correct and does not indicate the need for further education. Failure to rescue involves the lack of managing complications, which could result in increased morbidity and mortality.

A. Visible clubbing of the fingers and toes B. Stasis ulcer on the lower leg C. Unequal peripheral pulses between the lower extremities D. Pale edematous extremities E. Intermittent claudication

Correct Answer is E

Explanation

Choice A reason: Visible clubbing of the fingers and toes is not a typical finding of PAD, but a sign of chronic hypoxia or lung disease. It refers to the enlargement and rounding of the nail beds due to increased blood flow to the distal tissues.

Choice B reason: Stasis ulcer on the lower leg is not a common finding of PAD, but a sign of venous insufficiency or chronic venous stasis. It refers to the breakdown of the skin due to poor venous drainage and increased pressure in the veins.

Choice C reason: Unequal peripheral pulses between the lower extremities is not a specific finding of PAD, but a sign of arterial obstruction or aneurysm. It refers to the difference in the strength or quality of the pulses palpated in the arteries of the legs.

Choice D reason: Pale edematous extremities is not a characteristic finding of PAD, but a sign of heart failure or lymphedema. It refers to the pallor and swelling of the limbs due to fluid accumulation in the interstitial spaces.

Choice E reason: Intermittent claudication is a classic finding of PAD, as it indicates the reduced blood flow and oxygen delivery to the muscles of the legs. It refers to the pain, cramping, or fatigue that occurs in the calves, thighs, or buttocks during exercise and is relieved by rest.

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A client has been diagnosed with herpes zoster present on the upper right side of the torso, extending around to the client's back. Which client statement indicates the need for further teaching regarding this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nursing instructor is educating a group of nursing students on the nursing concept Failure to Rescue (FTR). Which statement made by a student would indicate the need for further education?

Correct Answer is A

Explanation

The nurse is providing care for a client who has just been diagnosed with peripheral arterial occlusive disease (PAD). What assessment finding is most consistent with this diagnosis?

Correct Answer is E

Explanation

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The nurse would prioritize which assessment for a client with a new diagnosis of osteoarthritis?

A client has been diagnosed with herpes zoster present on the upper right side of the torso, extending around to the client's back. Which client statement indicates the need for further teaching regarding this diagnosis?

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