An older patient is hesitant to receive a vaccination against shingles due to lack of knowledge. What will be included in the nurse's teaching?
1. Shingles are treated successfully with antibiotics.
2. Shingles cause vesicular lesions along spinal nerves.
3. Shingles are sometimes difficult to diagnose.
4. Shingles result from reactivation of a herpes simplex virus.
3. Shingles are sometimes difficult to diagnose.
Explanation: 1. Shingles are caused by a virus which means antibiotics are ineffective.
2. Shingles causes vesicular lesions along spinal nerves, most frequently affecting T3 to L2 nerves and the fifth cranial nerve.
3. Shingles are sometimes difficult to diagnose.
4. Shingles is caused by a reactivation of the herpes zoster virus and not the herpes simplex virus.
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The nurse is assessing a 3-year-old boy whose parents brought him to the clinic when they noticed that the right side of his abdomen was swollen. Which of the following findings would suggest this child has a neuroblastoma?
A) The child has a maculopapular rash on his palms. B) The parents report that their son is vomiting and not eating well. C) The parents report that their son is irritable and not gaining weight. D) Auscultation reveals wheezing with diminished lung sounds.
The family of an older adult brings the patient to the healthcare provider because the patient seems to be confused or depressed at times. What approach by the nurse can best obtain valuable information about the underlying problem?
a. Talk to the patient in a normal voice while standing away from him or her. b. Whisper questions to the patient to deter-mine if the questions can be understood. c. Ask the family to explain the activity pat-terns of the patient. d. Ask the family for a list of what the pa-tient usually eats.
A nurse is assessing a child with a known VSD. The nurse anticipates auscultating:
1. A systolic thrill in the lower left sternal border. 2. Wet lung sounds bilaterally. 3. A diastolic thrill in the upper left sternal border. 4. A diastolic wetness in the right sternal border.