A nurse prepares to admit a client who has herpes zoster. Which ...

[Mr3Hunna]

A nurse prepares to admit a client who has herpes zoster. Which actions should the nurse take? (Select all that apply.)
 
  a. Prepare a room for reverse isolation.
  b. Assess staff for a history of or vaccination for chickenpox.
  c. Check the admission orders for analgesia. d.
  Choose a roommate who also is immune suppressed.
  e. Ensure that gloves are available in the room.

Question 2

A nurse manages wound care for clients on a medical-surgical unit. Which client wounds are paired with the appropriate treatments? (Select all that apply.)
 
  a. Client with a left heel ulcer with slight necrosis - Whirlpool treatments
  b. Client with an eschar-covered sacral ulcer - Surgical dbridement
  c. Client with a sunburn and erythema - Soaking in warm water for 20 minutes
  d. Client with urticaria - Wet-to-dry dressing changes every 6 hours
  e. Client with a sacral ulcer with purulent drainage - Transparent film dressing

[jamesnevil303]

Answer to Question 1

ANS: B, C, E
Herpes zoster (shingles) is caused by reactivation of the same virus, varicella zoster, in clients who have previously had chickenpox. Anyone who has not had the disease or has not been vaccinated for it is at high risk for getting chickenpox. Herpes zoster is very painful and requires analgesia. Use of gloves and good handwashing are sufficient to prevent spread. It is best to put this client in a private room. Herpes zoster is a disease of immune suppression, so no one who is immune-suppressed should be in the same room.

Answer to Question 2

ANS: A, B
Necrotic tissue should be removed so that healing can take place. Whirlpool treatment can gently remove the necrosis. A wound covered with eschar most likely needs surgical dbridement. Warm water would not be recommended for a client with erythema. A wet-to-dry dressing and a transparent film dressing are not appropriate for urticaria or pressure ulcers, respectively.

[Mr3Hunna]

Excellent

[kswal303]

Gracias!