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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?

A.

Early recognition is essential to treat the disorder.

B.

Oral ulcers could prevent intake of adequate fluids.

C.

Prompt notification prevents sexual transmission.

D.

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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Related Questions

Correct Answer is B

Explanation

A. "Cellulitis can come back at any time." This statement reflects an understanding that cellulitis can recur, which indicates that the patient is aware of the potential for reinfection.
B. "My skin is cleared up. I don't think I need the medication anymore." Antibiotics should be taken for the full prescribed duration even if symptoms improve, to ensure complete eradication of the infection.
C. "Cellulitis is contagious." While cellulitis itself is not contagious, this statement does not necessarily indicate misunderstanding of antibiotic therapy.
D. "If I had washed that scratch with soap and water, I probably would not have gotten cellulitis." This reflects an understanding of preventative measures, although proper medical treatment is still required for existing cellulitis.

Correct Answer is B

Explanation

A. Assist with reality orientation: Reality orientation is more suitable for psychotic disorders or delirium.

B. Coach in deep breathing: Deep breathing helps to calm the patient and reduce the physiological symptoms of a panic attack.

C. Assist with rational thought: Rational thought is difficult to achieve during a panic attack; calming measures are more appropriate.

D. Aid in decision making: Decision-making assistance is not practical during a panic attack when the patient is highly distressed.

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