A client has just recovered from a long course of therapy for ...

[s.tung]

A client has just recovered from a long course of therapy for shingles. The client says, What can I do to keep from having that again? What information should the nurse provide?
 
  1. Try to find healthy outlets for your stress.
  2. Once you have had shingles, you are not likely to get it again.
  3. Try to keep as physically healthy as possible.
  4. There is little you can do to prevent outbreaks.
  5. Try to keep your immune system strong by taking good care of your physical and emotional health.

Question 2

A nurse is preparing to administer prescribed medication to a client exposed to hepatitis A. Which information should the nurse provide to this client?
 
  1. I am giving you HAV vaccine.
  2. You will likely need another injection, or booster, in 6 months.
  3. I am giving you hepatitis A immunoglobulin (HAIg).
  4. This injection will keep you from contracting hepatitis A.
  5. You will not need to worry about contracting hepatitis A for the next 5 to 8 years.

[HandsomeMarc]

Answer to Question 1

Correct Answer: 1,3,5
Rationale 1: Challenges such as emotional stress can promote active replication of the virus with lesion appearance.
Rationale 2: The virus that causes shingles can lay dormant for years and then become active. Multiple outbreaks over time are not uncommon.
Rationale 3: Physical health challenges suppress the immune system and make it more likely the client will have a shingles outbreak.
Rationale 4: The client can take some active steps to lessen the likelihood of recurrence.
Rationale 5: Challenges to physical and emotional health can suppress the immune system which allows the virus to replicate actively.

Answer to Question 2

Correct Answer: 3
Rationale 1: The vaccine is given to prevent hepatitis A, but is not the likely medication given when exposure is documented.
Rationale 2: Boosters are given for immunizations, not treatments after exposure is documented.
Rationale 3: Postexposure treatment includes administration of hepatitis A immunoglobulin.
Rationale 4: Immunoglobulins are only about 85 effective at preventing HAV.
Rationale 5: The vaccine has a 58 years window of effectiveness, but that is not likely what this client is receiving.

[s.tung]

Excellent

[juliaf]

TYSM