A nurse is teaching a community class on preventing chickenpox and shingles. Which measure should the nurse include in the presentation?
Excluding infected people from school or work until all lesions are crusted over.
Practicing good hand hygiene to avoid spreading the virus.
Sharing personal items such as towels with infected individuals.
Reporting cases of chickenpox or shingles to the local health authorities.
Correct Answer : A,B
Choice A rationale:
(Correct) Excluding infected individuals from school or work until all lesions are crusted over is an important measure in preventing the spread of chickenpox. This helps to reduce the risk of transmission to others.
Choice B rationale:
(Correct) Practicing good hand hygiene is essential to prevent the spread of the varicella-zoster virus, which causes chickenpox and shingles. Regular handwashing helps reduce the likelihood of virus transmission through contact with contaminated surfaces or infected individuals.
Choice C rationale:
(Incorrect) Sharing personal items such as towels with infected individuals can increase the risk of spreading the virus. It is crucial for the nurse to discourage such practices during the community class.
Choice D rationale:
(Incorrect) While reporting cases of chickenpox or shingles to local health authorities is important for surveillance purposes, it is not a preventive measure for individual protection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Taking aspirin is not recommended for individuals with chickenpox, especially children, as it has been associated with an increased risk of Reye syndrome, a severe and potentially fatal condition affecting the brain and liver.
Choice B rationale:
Applying topical antibiotics is not a suitable recommendation for relieving pruritus (itching) associated with chickenpox. Topical antibiotics are used to treat bacterial skin infections, not pruritus.
Choice C rationale:
Using antihistamines is the most appropriate recommendation for relieving pruritus in chickenpox. Antihistamines block the effects of histamine, a chemical released during an allergic reaction or infection, and can help reduce itching.
Choice D rationale:
Increasing physical activity is not advised for a client with chickenpox, as this could lead to the spread of the virus to others and may worsen the symptoms and pruritus.
Correct Answer is C
Explanation
Choice A rationale:
Anemia is not a complication typically associated with shingles. Shingles is caused by the varicella-zoster virus, and it primarily affects the nerves and skin, leading to a painful rash.
Choice B rationale:
Migraine headaches are not directly related to shingles. Shingles affects sensory nerves and typically presents with localized pain and a rash along the affected nerve's pathway.
Choice C rationale:
The nurse should monitor for postherpetic neuralgia in this client. Postherpetic neuralgia is a common complication of shingles that involves persistent and severe pain in the area where the rash was present. It occurs due to nerve damage caused by the virus, and the pain can last for weeks to months after the rash has healed.
Choice D rationale:
Asthma is not a complication associated with shingles. Shingles is a viral infection that primarily affects the skin and nerves and does not involve the respiratory system.
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