A client reports to the nurse of recently visiting someone who has a shingles infection. The client believes that having had chickenpox as a child will be protective against shingles. How should the nurse respond? Select all that apply.
Explanation & Rationale
Choice A reason: Although asking the client to describe the type of shingles her brother has may provide some information, it does not directly address the client's concern about her own risk of developing shingles. The focus should be on providing accurate information about the relationship between chickenpox and shingles. Choice B reason: The correct answer is b) because the nurse should affirm that a person with shingles has a history of chickenpox infection. This response helps the client understand that shingles are caused by the reactivation of the varicella-zoster virus, which also causes chickenpox. By explaining this connection, the nurse can provide accurate information and help the client understand their condition better. Choice C reason: Instructing the client to report the development of fatigue and low-grade fever is important for monitoring symptoms, but it does not directly address the client's question about the protective effect of having had chickenpox. Choice D reason: Explaining that the risk of developing shingles decreases with age is incorrect. In fact, the risk of developing shingles increases with age. Therefore, this option is not appropriate. Choice E reason: The correct answer is e) because distinguishing the difference between herpes varicella (chickenpox) and herpes zoster (shingles) is crucial. This explanation helps the client understand that shingles are a reactivation of the virus that causes chickenpox and that having had chickenpox does not necessarily provide immunity against shingles. Understanding the difference between the two conditions can help the client recognize the symptoms and seek appropriate treatment.