Answer to Question 1
Correct Answer: 1
Rationale 1: Acetaminophen is the preferred treatment.
Rationale 2: Ibuprofen could be used, but due to its increased risk, acetaminophen is the preferred treatment.
Rationale 3: Sponge baths will help, but acetaminophen is needed to control temperature over time.
Rationale 4: This might increase the risk of Reye's syndrome.
Global Rationale: Acetaminophen or the drug as ordered by the health care provider for low-grade fevers of less than 38C (101F), for localized tenderness, or for minor arthralgias and malaise, and cool compresses to the injection site may help alleviate malaise, fever, or injection site soreness. Ibuprofen could be used, but due to its increased risk, acetaminophen is the preferred treatment. Sponge baths will help, but acetaminophen is needed to control temperature over time. Aspirin might increase the risk of Reye's syndrome.
Answer to Question 2
Correct Answer: 1
Rationale 1: Adults over 60 should receive the Zostavax vaccine.
Rationale 2: Pregnant women should not receive the Zostavax vaccine.
Rationale 3: Children receive the varicella vaccine.
Rationale 4: College students should receive the meningococcal vaccine.
Global Rationale: The VZV vaccine, Zostavax, should be recommended for healthy older adults over the age of 60 and included as part of routine health care when the patient reaches age 60. It should not be given to pregnant women or college students. Children should receive the varicella vaccine.
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