An older adult female asks the practical nurse (PN) if she should get a Herpes zoster (shingles) vaccination because she gets cold sores on her mouth when she is sick or stressed. Which response should the PN provide?

The vaccine is not useful if you have ever had a case of shingles.

If you are 60 or older, the one-time vaccination is recommended.

You do not need to get this vaccination if you have had chicken pox.

The vaccination minimizes outbreaks of cold sores.

Answer and Explanation

The Correct Answer is B

The Herpes zoster (shingles) vaccination is recommended for adults aged 60 years and older, regardless of whether they have had shingles or chicken pox before. The vaccine can reduce the risk of developing shingles and its complications, such as postherpetic neuralgia.

The other options are not correct because:

A. The vaccine is useful even if the person has had a case of shingles before, as shingles can recur in some people. The vaccine can prevent or reduce the severity of future episodes.

C. The person needs to get this vaccination even if they have had chickenpox, as shingles are caused by the reactivation of the same virus that causes chickenpox (varicella-zoster virus). The vaccine can boost the immunity against the virus and prevent it from reactivating.

D. The vaccination does not minimize outbreaks of cold sores, as cold sores are caused by a diﬀerent virus (herpes simplex virus). The vaccine has no eﬀect on this virus or its symptoms.

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Correct Answer is B

Explanation

The correct answer is choice B. Notify the charge nurse of the client's concerns about surgery. Choice A rationale:

Reminding the client that the consent has already been obtained does not address the client's current fears and uncertainty about undergoing the surgery. It may come across as dismissive and unsupportive of the client's emotional needs.

Choice B rationale:

This is the correct answer because notifying the charge nurse of the client's concerns about surgery allows the nursing team to provide the necessary support and address the client's emotional needs appropriately. The charge nurse can assess the client's anxiety level, discuss the procedure, and involve the healthcare provider if needed to ensure the client is well-

informed and comfortable with their decision. Choice C rationale:

Documenting the client's expressed concerns about the surgery is essential for accurate documentation but does not provide the immediate support and intervention the client may require.

Choice D rationale:

Encouraging the client to continue with the scheduled surgery without addressing their fears and uncertainty may not be appropriate. The client's emotional well-being should be a priority, and they should feel supported in their decision-making process.

A. Administer a prescribed PRN dose of analgesic. B. Obtain an oxygen tank for home administration. C. Give the next prescribed dose of antiviral medication. D. Notify the nursing supervisor of the uncontrolled pain.

Correct Answer is A

Explanation

This is the best action for the PN to take because it provides immediate relief for the client's pain, which can be severe and debilitating in Herpes zoster. The PN should also assess the client's pain level, location, and characteristics and document the response to the medication.

B. Obtaining an oxygen tank for home administration is not indicated for this client and does not address his pain issue. Herpes zoster does not aﬀect the respiratory system and does not cause hypoxia or dyspnea.

C. Giving the next prescribed dose of antiviral medication is not a priority for this client and may not have an immediate eﬀect on his pain. Antiviral medication can help reduce the duration and severity of Herpes zoster, but it does not provide analgesia.

D. Notifying the nursing supervisor of uncontrolled pain is not a priority for this client and may delay his pain relief. The PN should notify the nursing supervisor only if the prescribed analgesic is ineﬀective or causes adverse eﬀects.

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An older adult female asks the practical nurse (PN) if she should get a Herpes zoster (shingles) vaccination because she gets cold sores on her mouth when she is sick or stressed. Which response should the PN provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A male preoperative client who has already signed the informed consent for a surgical procedure confides to the practical nurse (PN) that he is really frightened and unsure about undergoing the surgery. Which priority action should the PN take?

Correct Answer is B

Explanation

The practical nurse (PN) is making a home visit to an older male adult who was recently diagnosed with Herpes zoster (shingles). The client reports the onset of severe burning pain along the right side of his trunk. What action should the PN take?

Correct Answer is A

Explanation

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