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Discussion

Question about Shingles

Hey guyz, I have a question on the differences between two questions on my reviewer. One of the questions says this....

1. A LPN/LVN contacts the nurse to say that she has shingles on her back. Which of the following statements by the nurse is BEST?

1. "You can't take care of clients for 14 days."

2. "Come to work as scheduled."

3. "You can't care for clients until the lesions are crusted."

4. "Please contact your physician."

2. A nursing student with a history of breast cancer reports to the nurse on the unit that the nursing student has just developed shingles on her trunk. Which of the following actions by the nurse is BEST?

1. Suggest that the nursing student contact her physician.

2. Assign the nursing student to clients that are not high risk.

3. Inform the nursing student that she cannot care for clients.

4. Restrict the nursing student from performing invasive procedures.

The answer to number 1 question is "Come to work as scheduled", while the answer to number 2 question is Inform the nursing student that she cannot are for clients.

I think they have the same content...what's the difference between them that they have different answers.?

Thanks guys and GOD bless to you all!

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    • Featured Replies

    Ok, wouldn't the nurse with hx of breast cancer possibly be immunocompromised?

    Anyone who can drag themselves to work with a case of the shingles is a hero in my book. Talk about nerve pain!

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    • Expert

    According to the CDC....

    [h=2]Management of Patients with Herpes Zoster[/h]Infection-control measures depend on whether the patient with herpes zoster is immunocompetent or immunocompromised and on whether the rash is localized or disseminated (defined as appearance of lesions outside the primary or adjacent dermatomes). In all cases, standard infection-control precautions should be followed.

    If the patient is immunocompetent with

    • localized herpes zoster, then standard precautions should be followed and lesions should be completely covered.
    • disseminated herpes zoster, then standard precautions plus airborne and contact precautions should be followed until lesions are dry and crusted.

    If the patient is immunocompromised with

    • localized herpes zoster, then standard precautions plus airborne and contact precautions should be followed until disseminated infection is ruled out. Then standard precautions should be followed until lesions are dry and crusted.
    • disseminated herpes zoster, then standard precautions plus airborne and contact precautions should be followed until lesions are dry and crusted.

    Shingles | Preventing VZV in Healthcare Settings | Herpes Zoster | CDC
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