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 D

Explanation

This is the best intervention for the PN to implement because it monitors the client's ﬂuid status and helps detect ﬂuid overload, which can cause hypertension and neurological changes. The PN should weigh the client at the same time, on the same scale, and with the same clothing every day.

A. Using a cushion when sitting is not a priority intervention for this client and may not address the BP or mental status issues.

B. Performing range of motion exercises is not a priority intervention for this client and may not address the BP or mental status issues.

C. Documenting abdominal girth is not a priority intervention for this client and may not be an accurate indicator of ﬂuid status.

A. Increased diaphoresis during the day and night. B. Breast engorgement on the fourth postpartum day. C. Lochia color that changes to light pink or white. D. Sudden or persistent temperature above 100.5 F (38.0 C).

Correct Answer is D

Explanation

This is the finding that the PN should instruct the postpartum client to report to the charge nurse because it may indicate an infection, such as endometritis, mastitis, or urinary tract infection, that requires prompt treatment. The PN should also instruct the client to monitor for other signs of infection, such as foul-smelling lochia, redness or tenderness of the breasts, or dysuria.

A. Increased diaphoresis during the day and night is a normal finding in the postpartum period and does not need to be reported. It is caused by hormonal changes and ﬂuid shifts that occur after delivery.

B. Breast engorgement on the fourth postpartum day is a normal finding in the postpartum period and does not need to be reported. It is caused by increased blood ﬂow and milk production in the breasts.

C. Lochia color that changes to light pink or white is a normal finding in the postpartum period and does not need to be reported. It indicates that the uterine lining is healing and regenerating after delivery.

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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 client is being treated for chronic kidney disease (CKD). On examination, the client has an elevated blood pressure (BP) and is exhibiting changes in mental status. Which intervention in the plan of care should the practical nurse (PN) implement?

Correct Answer is D

Explanation

Which finding should the practical nurse (PN) instruct the postpartum client to report to the charge nurse?

Correct Answer is D

Explanation

Prior to an invasive examination of a hospitalized client, a consent form should be obtained. Which action best describes the responsibility of the practical nurse (PN)?

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