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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Within 12 hours after burn trauma: Fluid loss is significant initially but peaks later.
B. 48 to 72 hours after burn trauma: The greatest fluid loss typically occurs within the first 48 to 72 hours as capillary permeability is at its highest and fluid resuscitation needs are greatest.
C. 24 to 36 hours after burn trauma: Fluid loss is still considerable but not at its peak; the peak is generally observed a bit later.
D. 36 to 48 hours after burn trauma: Fluid loss continues to be high, but the peak is generally reached a little later than this timeframe.
Correct Answer is A
Explanation
A. Pityriasis rosea typically starts with a single, larger "herald patch" followed by a rash with smaller, oval spots. The described pattern is characteristic of this condition.
B. Herpes zoster virus or shingles, usually presents with vesicular lesions in a dermatomal distribution, rather than scattered oval spots.
C. Herpes simplex type 1 generally causes oral lesions or cold sores, not the body rash described.
D. Impetigo contagiosa is a bacterial infection that typically causes honey-colored crusted sores and is not described as having a herald patch or oval spots.
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