The nurse is assessing a client who has herpes zoster. Which question will allow the nurse to gather further information about this condition?
Have the antifungal creams been effective?
Do your family members share combs and brushes?
Do you have any dry patches on your feet and hands?
Has everyone at home already had varicella?
The Correct Answer is D
A. Asking about the effectiveness of antifungal creams is not relevant to herpes zoster, which is caused by the varicella-zoster virus.
B. Inquiring about family members sharing combs and brushes is not directly related to herpes zoster, as it is not transmitted through sharing personal items.
C. Asking about dry patches on the feet and hands may provide information about other dermatological conditions but does not specifically address herpes zoster.
D. Asking whether everyone at home has already had varicella is important because herpes zoster, commonly known as shingles, is caused by reactivation of the
varicella-zoster virus, which also causes chickenpox (varicella). Individuals who have not had chickenpox or been vaccinated against it may be at risk of developing chickenpox if exposed to herpes zoster lesions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Acute pain related to renal calculus is important and needs to be addressed, but managing potential life-threatening conditions, like aspiration, takes precedence.
B. Nutritional deficit related to nausea is also a concern but is not as urgent as preventing aspiration.
C. Impaired renal function related to pain could be important in the long term, but it does not pose an immediate risk like aspiration does. Therefore, it is not the highest priority.
D. Risk for aspiration related to vomiting is the highest priority because it addresses the immediate potential for airway compromise, which can be life-threatening if the client aspirates vomitus. Ensuring the airway is protected and that aspiration does not occur is critical.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}
Explanation
Correct Answers:
Indicates the Interventions Were Successful: A, B, C, D, E, F
No Indication that the Interventions Were Successful: None
Rationale:
The assessment data provided indicates a positive response to the interventions for the asthma attack. The decrease in heart rate from 112 to 105 beats per minute, alongside the client's ability to speak in full sentences without pausing, suggests an improvement in respiratory function. Clear lung sounds and a reduction in respiratory rate to 16 breaths per minute further support this conclusion. The client's subjective report of eased breathing and the maintenance of blood pressure within normal limits post-intervention are also indicative of successful treatment. These observations collectively demonstrate the effectiveness of the administered medications and oxygen therapy in managing the acute asthma symptoms presented by the client.
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