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LPN Nursing · Skin Infections · Practice question

A nurse is assisting with the development of a plan of care to manage pain for a client who has herpes zoster with lesions on the lower extremities. Which of the following interventions should the nurse include in the plan of care?

Answer & explanation

Correct: Keep bed linens off of the affected areas.

Herpes zoster causes painful vesicular lesions along a dermatome, and even light touch from bed linens can trigger severe neuropathic pain because the affected nerve fibers are hypersensitized. Keeping bed linens off the affected areas using a bed cradle is therefore a key comfort intervention and directly addresses the pain management goal stated in the stem. Droplet precautions are incorrect; herpes zoster requires contact precautions, and in immunocompromised patients or those with disseminated disease, airborne precautions may also be added — droplet precautions alone are not appropriate. A heat lamp is contraindicated because direct heat to open or crusted lesions risks burns, worsens inflammation, and increases risk of secondary infection in already-compromised skin. Warm, moist compresses may soothe some skin conditions but are not indicated for herpes zoster; wet compresses can macerate fragile vesicles, introduce bacteria, and increase the risk of secondary infection. Minimizing mechanical stimulation by keeping linens away from the lesions remains the evidence-supported approach to reducing allodynia and providing comfort for clients with herpes zoster affecting the extremities.

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