Several residents in a long term care facility have been diagnosed with herpes zoster. Which resident will require the closest observation for development of complications?

A resident with dementia who requires assistance eating.

A resident who is sexually active

A resident who is undergoing chemotherapy for breast cancer

A resident recovering from a hip fracture

Answer and Explanation

The Correct Answer is C

A. A resident with dementia who requires assistance eating: While this resident might have complications due to a weakened immune system, chemotherapy significantly increases the risk of complications from herpes zoster.

B. A resident who is sexually active: Sexual activity does not increase the risk of complications from herpes zoster.

C. A resident who is undergoing chemotherapy for breast cancer: Chemotherapy significantly compromises the immune system, making the resident more susceptible to severe complications from herpes zoster.

D. A resident recovering from a hip fracture: While recovering from a hip fracture is a stressor, it does not have as significant an impact on the immune system as chemotherapy.

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Correct Answer is C

Explanation

A. is present in all age-groups, but especially older adults : Impetigo is more common in children and not especially prevalent in older adults.
B. Usually presents with a rash on the patient's back: Impetigo typically presents on exposed areas such as the face, arms, and legs, not usually the back.
C. Is a highly contagious inflammatory disorder: Impetigo is highly contagious and characterized by inflammatory skin lesions.
D. is a viral skin infection: Impetigo is caused by bacterial infection (usually Staphylococcus aureus or Streptococcus pyogenes), not a virus.

A. The sites of entry and exit B. Control of bleeding C. The likelihood of cardiac arrest D. The extent and depth of the burn

Correct Answer is C

Explanation

A. The sites of entry and exit: While important for assessing burn severity, immediate concern is not the primary issue.
B. Control of bleeding: Electrical burns do not typically cause significant external bleeding.
C. The likelihood of cardiac arrest: Electrical burns can cause cardiac arrhythmias or arrest, making this the primary concern.
D. The extent and depth of the burn While important for treatment, the immediate concern is cardiac arrest.

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Several residents in a long term care facility have been diagnosed with herpes zoster. Which resident will require the closest observation for development of complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nine-year-old patient is being evaluated for a skin rash. The preliminary diagnosis is impetigo contagiosa. The nurse assists with planning care with which fact about impetigo contagiosa in mind?

Correct Answer is C

Explanation

A nurse arrives at an accident scene where the victim has just received an electrical burn. Which is the nurse's primary concern?

Correct Answer is C

Explanation

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