(ATI/HESI MCQ) A client with chickenpox asks the nurse about ways to relieve pruritus. What should the nurse recommend?

Choice A rationale:

(Incorrect) The herpes zoster vaccine (shingles vaccine) is not administered to patients with chickenpox. The vaccine is recommended for those aged 50 years and older to prevent shingles in individuals who have previously had chickenpox.

Choice B rationale:

(Incorrect) Encouraging contact with immunocompromised individuals is not appropriate when caring for a patient with chickenpox. Immunocompromised individuals are more susceptible to severe complications from the varicella-zoster virus, so close contact should be avoided.

Choice C rationale:

(Correct) Using cool compresses is an essential comfort measure for patients with chickenpox. Cool compresses can help soothe the itching and discomfort caused by the chickenpox rash.

Choice D rationale:

(Incorrect) Providing educational materials only to the patient is not sufficient. It is important for the nurse to educate the patient's family members or caregivers about chickenpox precautions and care to prevent further transmission of the virus.

Choice A rationale:

Encouraging using sterile instruments for cutting umbilical cords is important in preventing tetanus as contaminated instruments can introduce the

C. tetani spores, leading to infection.

Choice B rationale:

Promoting safe delivery practices in clean facilities is crucial to prevent tetanus in newborns. Clean delivery facilities reduce the risk of exposure to

C. tetani spores, which can enter through unclean delivery practices.

Choice C rationale:

Advising against disposing of animal feces properly is not directly related to preventing tetanus. Tetanus is primarily caused by the introduction of

C. tetani spores into wounds, not through exposure to animal feces.

Choice D rationale:

Educating on avoiding contact with soil or feces that may contain

C. tetani spores is essential in preventing tetanus. The spores can be found in soil and feces, and direct contact with these sources increases the risk of infection.

Choice E rationale:

Suggesting regular booster doses of DTP vaccine during adulthood is an effective measure in preventing tetanus. The DTP vaccine provides immunity against tetanus, and regular boosters are recommended to maintain protection throughout life.