A nurse is providing education to a client with shingles. Which statement by the nurse is correct?
"Shingles can be transmitted through direct contact with vesicles.”
"You can only get shingles if you've never had chickenpox.”
"The shingles vaccine has a 100% efficacy rate.”
"The herpes zoster vaccine is given to children under 10 years old.”
The Correct Answer is B
Choice A rationale:
(Incorrect) Shingles, caused by the varicella-zoster virus, can be transmitted through direct contact with the fluid from the vesicles (blisters) of a person who has active shingles. However, it is important for the nurse to provide correct information to the client.
Choice B rationale:
(Correct) Shingles can only occur in individuals who have previously had chickenpox. After a person recovers from chickenpox, the virus remains dormant in the nerve tissues. Later in life, the virus can reactivate, leading to shingles. It is crucial for the nurse to emphasize this point to prevent any misunderstandings.
Choice C rationale:
(Incorrect) While the shingles vaccine is effective in reducing the risk of developing shingles, it does not have a 100% efficacy rate. The vaccine can, however, reduce the severity and duration of the illness if shingles still occur after vaccination.
Choice D rationale:
(Incorrect) The herpes zoster vaccine (shingles vaccine) is not given to children under 10 years old. It is recommended for adults aged 50 years and older or for individuals with certain risk factors.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale:
(Incorrect) Shingles, caused by the varicella-zoster virus, can be transmitted through direct contact with the fluid from the vesicles (blisters) of a person who has active shingles. However, it is important for the nurse to provide correct information to the client.
Choice B rationale:
(Correct) Shingles can only occur in individuals who have previously had chickenpox. After a person recovers from chickenpox, the virus remains dormant in the nerve tissues. Later in life, the virus can reactivate, leading to shingles. It is crucial for the nurse to emphasize this point to prevent any misunderstandings.
Choice C rationale:
(Incorrect) While the shingles vaccine is effective in reducing the risk of developing shingles, it does not have a 100% efficacy rate. The vaccine can, however, reduce the severity and duration of the illness if shingles still occur after vaccination.
Choice D rationale:
(Incorrect) The herpes zoster vaccine (shingles vaccine) is not given to children under 10 years old. It is recommended for adults aged 50 years and older or for individuals with certain risk factors.
Correct Answer is C
Explanation
Choice A rationale:
Complete Blood Count (CBC) is not useful in confirming the diagnosis of chickenpox. CBC provides information about the number and types of blood cells but is not specific to chickenpox diagnosis.
Choice B rationale:
Stool culture is not relevant in confirming the diagnosis of chickenpox. Stool culture is used to identify gastrointestinal infections, and it is not associated with chickenpox.
Choice C rationale:
Tzanck smear and viral culture from vesicle fluid are useful in confirming the diagnosis of chickenpox. Tzanck smear involves taking a sample from the vesicle and staining it to identify multinucleated giant cells, which are characteristic of varicella-zoster virus (VZV) infection. Viral culture involves growing the VZV in a lab to confirm the presence of the virus.
Choice D rationale:
Urinalysis is not relevant in confirming the diagnosis of chickenpox. Urinalysis is used to assess kidney function and detect urinary tract infections, but it does not help in diagnosing chickenpox.
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