The nurse is assigned to care for a female client with herpes zoster (Shingles). Which of the following characteristics would the nurse expect to note when assessing the lesions of this infection?
A. Clustered skin vesicles
B. A generalized body rash
C. Small blue-white spots with a red base
D. Cutaneous lesions on the hands, feet, and buttocks
Correct Answer: A. Clustered skin vesicles
The primary lesion of herpes zoster is a vesicle. The classic presentation is grouped vesicles on an erythematous base along a dermatome. Because the lesions follow nerve pathways, they do not cross the midline of the body.
Option B: Generalized rashes are normally the result of skin inflammation that is observed in eczema and atopic dermatitis.
Option C: Small blue-white spot with a red base is a characteristic of a Koplik spot that is seen in measles.
Option D: Cutaneous lesions on the hands, feet, and buttocks are signs of Hand-foot-and-mouth disease (HFMD).
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