A resident of an assisted living center reports having sharp pain on one side of the body, with patches of "blisters". The nurse notices vesicles on one side of the thorax, which follow a peripheral nerve pathway. Suspecting herpes zoster, the nurse immediately contacts the health care provider. Which is the reason for the prompt notification?

Early recognition is essential to treat the disorder.

Oral ulcers could prevent intake of adequate fluids.

Prompt notification prevents sexual transmission.

Early administration of the varicella vaccine is needed.

Answer and Explanation

The Correct Answer is A

A. Early recognition is essential to treat the disorder: Early recognition of herpes zoster is crucial to start antiviral therapy and reduce the risk of complications such as postherpetic neuralgia.

B. Oral ulcers could prevent intake of adequate fluids. This does not apply to herpes zoster, as the vesicles are usually not found in the mouth.

C. Prompt notification prevents sexual transmission. Herpes zoster is not sexually transmitted; it is caused by reactivation of varicella zoster virus.

D. Early administration of the varicella vaccine is needed. The varicella vaccine is not used to treat herpes zoster but rather to prevent chickenpox.

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Correct Answer is B

Explanation

A. Very disruptive to a person in society: This description is judgmental and not specific to documenting behavior objectively.

B. Differing from socially acceptable behavior: Documenting behavior as differing from socially acceptable norms provides an objective, non-judgmental account of the patient’s behavior.

C. Causing the person to be involved in problems: This focuses on the outcomes of the behavior rather than describing the behavior itself.

D. Resulting from an inability to exercise control: This may imply a lack of control but does not objectively describe the behavior for documentation purposes.

A. Osteomyelitis B. Osteoporosis C. Kyphosis D. Arthritis

Correct Answer is C

Explanation

A. Osteomyelitis: Osteomyelitis is an infection of the bone and does not directly impact the skeletal changes affecting lung function.

B. Osteoporosis: While osteoporosis affects bone density and may cause fractures, it is not specifically linked to changes in lung function related to skeletal changes.

C. Kyphosis: Kyphosis, or excessive curvature of the thoracic spine, can compress the thoracic cavity and reduce lung expansion, which impacts effective air exchange in COPD patients.

D. Arthritis: Arthritis affects joint function but does not have a direct impact on the skeletal changes that alter lung function like kyphosis does.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

How should the nurse document the behavior of a patient with mental illness?

Correct Answer is B

Explanation

The nurse recognizes that an older adult patient with COPD has a higher incidence of developing which age-related skeletal change that will alter the ability to exchange air effectively?

Correct Answer is C

Explanation

The nurse is assisting an older adult patient out of bed when suddenly the patient begins to fall. What is the likely cause of the fall?

The nurse reminds the 80-year-old patient that her respiratory system has decreased resistance to respiratory infections. For what is this patient at increased risk?

A 14-year-old survivor of a school shooting screams and dives under a table when firecrackers go off. What does this behavior represent?

What is the greatest problem with lysergic acid diethylamide (LSD) use?

Several residents in a long term care facility have been diagnosed with herpes zoster. Which resident will require the closest observation for development of complications?

The school nurse recognizes the signs of scabies when a child displays which symptom?

The patient talks with his dead brother and arranges furniture so that his brother will have a place to sit. How should the nurse document this behavior?

When discussing aging, to whom does the term older adulthood apply?