Pharmacology Antivirals #4

Question

Which client statement indicates the client understands about herpes zoster and the treatment?

Answers

  1. "I contracted this condition during my ‘wild’ days when I was ‘sowing my oats’ as a young man."
    • Rationale:

      This answer is not correct because herpes zoster is not caused by a “wild” lifestyle or “sowing oats”. Herpes simplex (genital herpes) can be contracted from sexual activity, but not herpes zoster (shingles).

  2. "I will take these pills so I don’t have to worry about getting this painful condition again."
    • Rationale:

      This answer is not correct because for herpes zoster, there are no pills to prevent this condition. The shingles vaccine helps to prevent shingle’s outbreak. Symptoms include a painful band or stripe of blisters and even after the blisters are healed, the person may experience pain called post-herpetic neuralgia.

  3. "So there is a shot to help me not get this again? I never realized that chicken pox would come back and ‘haunt me’.
    • Rationale:

      This answer is correct because a shingles vaccine is available to reduce the risk of getting shingles and it’s complications. The vaccine is recommended for adults who are healthy 50 years or older. For the client to have the symptoms of shingles, the client has had a previous chicken pox breakout and the virus lies dormant in the body until triggered by a weakened immune system. The body reactivates the virus and symptoms, including a painful band or stripe of blisters occur (generally) on the trunk of the individual. Even after the blisters are healed, the person may experience pain called post-herpetic neuralgia. A shingles vaccine is available for individuals who have never had shingles or for t

  4. "So, later will I break out with bumps on my genital area? I never realized I could have chicken pox on my genital area."
    • Rationale:

      This answer is not correct because herpes simplex virus type 1 or genital herpes breaks out on the genital area and is contracted sexually. Herpes zoster usually does not break out on the genital area, mostly the left or right side of the body. Symptoms include a painful band or stripe of blisters and even after the blisters are healed, the person may experience pain called post-herpetic neuralgia.

Overview

Herpes zoster (shingles) is caused by the exact virus as chickenpox called the varicella-zoster virus. A shingles vaccine is available to reduce the risk for getting shingles.

Explanation

Learning Outcomes

Herpes zoster (shingles) is a form of herpes caused by the chickenpox virus. For the client to have the symptoms of shingles, the client has had a previous chicken pox breakout and the virus lies dormant in the body until triggered by a weakened immune system. The body reactivates the virus and symptoms, including a painful band or stripe of blisters occur (generally) on the trunk of the individual. Even after the blisters are healed, the person may experience pain called post-herpetic neuralgia. A shingles vaccine is available for individuals who have never had shingles or for those who desire to not experience this painful virus reactivation of chickenpox (herpes zoster) again.

Test Taking Tip

Clients who are at a high risk of contracting shingles may benefit from taking the herpes zoster (shingles) vaccine to prevent the risk of getting shingles.

Video Rationale