A nurse is planning care for an older adult client who has herpes zoster. Which of the following interventions should the nurse include in the plan?
Administer analgesics for pain
Restrict visitors who have hot previously received a measles, mumps, and rubella vaccine.
Place the client in protective isolation.
Avoid the use of alcohol-based hand rubs.
The Correct Answer is A
Choice A rationale: Pain management is a crucial aspect of care for a client with herpes zoster (shingles). Administering analgesics can help alleviate pain and improve the client's overall comfort.
Choice B rationale: Herpes zoster is not spread through respiratory droplets, so restricting visitors based on their vaccination status is not necessary.
Choice C rationale: Protective isolation is not required for herpes zoster, as it is not highly contagious.
Choice D rationale: There is no need to avoid alcohol-based hand rubs in the care of a client with herpes zoster.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: tachycardia is an expected finding in burns patients due to the increase in metabolic rate and fluid loss.
Choice B rationale: a urine output of 25 ml/hr is too low for an individual with burns hence the need for adequate fluid resuscitation. However, this is not a priority sign compared with the difficulty in breathing.
Choice C rationale: difficulty in swallowing is an indicator of airway edema which may compromise the patients breathing and oxygenation which may result in death. Therefore, the healthcare provider should be notified to assess the need for intubation.
Choice D rationale: Pain of 6 on a scale of 0 to 10 is moderate and is expected due to burns and can be managed with analgesics and nonpharmacological interventions.
Correct Answer is ["0.8"]
Explanation
The amount to be administered = desired dose/ dose at hand X quantity of the solution
= 100/250 x 2
= 0.8 mL
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