A patient is concerned about receiving the varicella vaccine due to possible side effects. What should the nurse explain about the vaccine?
The varicella vaccine is not effective in preventing chickenpox.
Serious adverse events from the vaccine are common.
The vaccine has a high efficacy rate in preventing shingles.
The vaccine is not recommended for pregnant women.
The Correct Answer is C
Choice A rationale:
The varicella vaccine is not effective in preventing chickenpox. This statement is incorrect. The varicella vaccine is actually highly effective in preventing chickenpox. It contains a weakened form of the varicella-zoster virus, which stimulates the body's immune system to develop protection against the virus, reducing the risk of getting chickenpox.
Choice B rationale:
Serious adverse events from the vaccine are common. This statement is incorrect. Serious adverse events from the varicella vaccine are rare. Like all vaccines, there may be some mild side effects such as soreness at the injection site, fever, or a mild rash, but severe reactions are extremely uncommon.
Choice C rationale:
The vaccine has a high efficacy rate in preventing shingles. This statement is correct. The varicella vaccine not only helps prevent chickenpox but also reduces the risk of developing shingles later in life. Shingles is caused by the reactivation of the varicella-zoster virus, and the vaccine helps boost immunity to the virus, leading to a decreased likelihood of shingles.
Choice D rationale:
The vaccine is not recommended for pregnant women. This statement is generally correct. Pregnant women should avoid receiving the varicella vaccine because it is a live attenuated vaccine, and there is a theoretical risk of transmission to the fetus. If a woman is not immune to varicella and is planning to become pregnant, it's best to receive the vaccine before pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Airborne precautions are used for infectious agents that spread through small respiratory droplets and remain suspended in the air for long periods. Shingles is not transmitted through the airborne route.
Choice B rationale:
Droplet precautions are used for infectious agents that spread through large respiratory droplets and have a limited range. Shingles is not transmitted through large respiratory droplets.
Choice C rationale:
This is the correct response. Contact precautions are implemented for patients with shingles (herpes zoster) because the virus spreads through direct contact with the rash or lesions.
Choice D rationale:
Standard precautions are used for all patients to prevent the transmission of infections from both recognized and unrecognized sources. However, for specific diseases like shingles, additional precautions like contact precautions are also required.
Correct Answer is ["B","D","E"]
Explanation
Choice A rationale:
The nurse should not advise the patient to apply iodine, hydrogen peroxide, or alcohol to the wound. These substances can be irritating to the wound and delay the healing process.
Choice B rationale:
Cleaning and debriding the wound as soon as possible is an essential action to prevent infection and promote healing. Removing debris and foreign material from the wound reduces the risk of contamination and infection.
Choice C rationale:
Using non-sterile instruments for wound care is not appropriate. The nurse should emphasize the importance of using clean and sterile instruments to prevent introducing additional bacteria into the wound.
Choice D rationale:
Administering the Td vaccine (Tetanus and Diphtheria) for prophylaxis is a crucial action to protect the patient from tetanus, especially in contaminated wounds where tetanus spores might be present.
Choice E rationale:
Proper disposal of animal feces is crucial to avoid exposure to tetanus spores. Tetanus spores can be found in soil contaminated with animal feces and can enter the body through open wounds, leading to a serious and potentially fatal infection.
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