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WorksheetsViral Disorders of the Integumentary System
Total questions: 2
Worksheet time: 13mins
Client Scenario:
A 32-year-old client presents to the outpatient clinic with reports of painful lesions around the mouth, fatigue, and a tingling sensation in the area before the lesions appeared. The nurse notes edematous, erythematous vesicles at the corner of the client’s lip with crusting.
Which condition is most consistent with the client’s current presentation?
Herpes Simplex Type I
Herpes Simplex Type II
Herpes Zoster
Contact Dermatitis
What objective data would the nurse expect to find with this condition?
Patches of vesicles following a nerve path
Honey-colored crust on smooth, red skin
Edematous, erythematous lesion at the lip with encrusting
Cracked, dry skin on the hands and forearms
Complete the following teaching statement:
The nurse should advise the client to begin taking (a) at the first sign of symptoms to reduce the severity and duration of the outbreak.
Which client statement indicates correct understanding of herpes simplex virus transmission?
“It’s only contagious when the sore is visible.”
“I can’t spread this to anyone unless they kiss me.”
“Even without symptoms, I could still transmit the virus.”
“I can’t get this again because I’ve already had it once.”
The client askes when should the lesions typically be healed, the nurse understands healing usually occurs within how long?
10-14 days
7-14 days
14-21 days
21-28 days
Client Scenario:
A 68-year-old male presents to the urgent care clinic with a painful rash on the right side of his chest. He reports feeling fatigued for the past week and describes a burning, stabbing pain in the area prior to the rash developing. On exam, the nurse observes clusters of fluid-filled vesicles on an erythematous base, arranged in a band-like pattern across the thoracic region. The client states he had chickenpox as a child and is unsure if he ever received the shingles vaccine.
Which statement best explains the pathophysiology of this client’s condition?
It is caused by direct skin contact with another person who has shingles.”
“It results from exposure to a new viral infection contracted later in life.”
“It is a reactivation of a dormant virus that has remained in your nerve tissue.”
“It is caused by an allergic reaction to medication that irritates your skin.”
Which clinical finding supports the nurse’s conclusion that the client is experiencing Herpes Zoster?
Vesicles and papules on both arms and thighs
Honey-colored crusts on the face and neck
Fluid-filled vesicles on one side of the body in a nerve distribution
Maculopapular rash spreading across the abdomen
The provider prescribes Acyclovir. Which statement by the client indicates a need for further teaching?
“I’ll take this medicine as directed"
“This medication will help shorten how long the rash lasts.”
“I’ll keep taking this even if I start to feel better.”
“Once I finish this medication, I won’t ever get shingles again.”
