The nurse is assessing a client who has herpes zoster. Which question will allow the nurse to gather further information about this condition?
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?
Have the antifungal creams been effective?
The Correct Answer is C
C. Herpes zoster is caused by the reactivation of the varicella-zoster virus, the same virus that causes chickenpox (varicella). Asking whether everyone at home has already had varicella helps assess the risk of exposure to susceptible individuals who could potentially develop chickenpox upon exposure to the herpes zoster rash.
A. Sharing combs and brushes may increase the risk of transmitting head lice, fungal infections, or bacterial infections, but it is not directly relevant to the assessment of herpes zoster.
B. Dry patches on the feet and hands may be indicative of various dermatological conditions such as eczema or psoriasis, but they are not specific to herpes zoster. Herpes zoster typically presents as a painful rash with clusters of fluid-filled blisters along a specific dermatome
D. Asking about the effectiveness of antifungal creams is relevant if the client is being treated for a fungal infection, but it does not provide information specific to herpes zoster.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D Peritoneal dialysis involves using the peritoneum (the lining of the abdominal cavity) as a semipermeable membrane to remove waste products and excess fluid from the body. It requires a healthy peritoneal membrane for effective dialysis. Crohn's disease, especially if it has led to extensive inflammation or scarring of the peritoneum, can impair the function of the peritoneum and make peritoneal dialysis less effective or even contraindicated.
A While chronic viral hepatitis may affect the liver's ability to metabolize waste products, it is not necessarily a contraindication for peritoneal dialysis. However, active hepatitis or significant liver dysfunction may impact the choice of dialysis modality and require careful evaluation by the healthcare team.
B Nephrotic syndrome involves kidney damage that leads to excessive protein loss in the urine, fluid retention, and other complications. While nephrotic syndrome may necessitate dialysis as kidney function declines, it is not a contraindication for peritoneal dialysis per se.
C While diabetes-related complications can influence the choice of dialysis modality and require close monitoring, type 2 diabetes mellitus alone is not a contraindication for peritoneal dialysis.
Correct Answer is B
Explanation
While getting an influenza vaccine annually is important for individuals with diabetes to prevent complications from influenza, it is not specific to diabetes self-management.
Using salt, herbs, and spices to enhance the flavor of foods can help reduce the reliance on added sugars and unhealthy fats for flavoring, which is beneficial for individuals with diabetes in managing blood sugar levels and overall health.
Alcohol use interferes with glycemic control. Diabetic clients should stop taking alcohol completely to reduce the risk of complications
Eating a protein snack before exercise may be helpful for some individuals to provide sustained energy and maintain blood sugar levels during physical activity. However, it is not a universal recommendation for all individuals with type 2 diabetes.
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