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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Anxiety related to uncertainty of the events of the test: Addressing the patient's anxiety and providing information about the procedure can help reduce fear and improve cooperation.
B. Deficient knowledge related to lack of information regarding the procedure: While providing information is important, the immediate emotional response (anxiety) takes priority as it can impact the patient's experience of the procedure.
C. Disturbed thought process related to confusion: While disturbed thought processes are relevant, they are not the primary concern pre-procedure.
D. Disturbed thought process related to temporary memory loss: Temporary memory loss can occur post-ECT, but addressing pre-procedure anxiety is a more immediate priority.
Correct Answer is B
Explanation
A. Schizophrenia is a chronic mental health disorder not characterized by time-specific delirium.
B. Sundowning syndrome refers to increased confusion and agitation in the late afternoon and evening, often seen in patients with delirium or dementia.
C. Disordered thinking can be a symptom of many conditions but does not specifically describe time-related delirium.
D. Dementia is a chronic condition that can include sundowning but does not specifically describe this time-related agitation and confusion.
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