Page 1233 - Saunders Comprehensive Review For NCLEX-RN

432. Answer: 3, 5

Rationale: The nurses who have not had chickenpox or did not receive the
varicella zoster vaccine are susceptible to the herpes zoster virus and should not be
assigned to care for the client with herpes zoster. Nurses who have not contracted
roseola, mumps, or rubella are not necessarily susceptible to herpes zoster. Herpes
zoster (shingles) is caused by a reactivation of the varicella zoster virus, the causative
virus of chickenpox. Individuals who have not been exposed to the varicella zoster
virus or who did not receive the varicella zoster vaccine are susceptible to
chickenpox. Health care workers who are unsure of their immune status should
have varicella titers done before exposure to a person with herpes zoster.
Test-Taking Strategy: Focus on the subject, transmission of herpes zoster.
Recalling that herpes zoster is caused by a reactivation of the varicella zoster virus,
the causative virus of chickenpox, will direct you to the correct options.
Level of Cognitive Ability: Analyzing
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process—Planning
Content Area: Leadership/Management: Delegating
Health Problem: Adult Health: Integumentary: Inflammations/Infections
Priority Concepts: Infection; Safety
Reference: Ignatavicius, Workman, Rebar (2018), pp. 467-468.

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