A 10-year-old patient is diagnosed with scabies. Appropriate treatment should include:
retapamulin topically twice a day for 5 days.
one dose of permethrin cream 5% topically.
topical clotrimazole 3 times a day for 7 days.
hydrocortisone cream 1% topically three times a day for 10 days.
The Correct Answer is B
Rationale:
A. Retapamulin is an antibiotic used for bacterial skin infections, not for scabies.
B. Permethrin 5% cream is the first-line treatment for scabies. It should be applied to the entire body from the neck down (and in infants, also the scalp and face) and left on for 8–14 hours before washing off. A single application is often sufficient, though a second dose may be recommended after 7–14 days if symptoms persist.
C. Clotrimazole is an antifungal used for dermatophyte infections and candidiasis, not for scabies.
D. Hydrocortisone 1% cream can help relieve itching and inflammation but does not treat the underlying scabies infestation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. A micropenis and jitterness are more characteristic of congenital hypopituitarism or other endocrine disorders, not primary congenital hypothyroidism.
B. Vomiting, lethargy, and poor feeding are nonspecific and could indicate many neonatal conditions but do not specifically point to congenital hypothyroidism.
C. Decreased activity, a large anterior fontanel, and poor feeding are classic signs of congenital hypothyroidism. Infants may also present with hypotonia, prolonged jaundice, constipation, and a hoarse cry. Early detection is critical to prevent growth retardation and intellectual disability.
D. Rapid heart rate, irritability, and frequent stools are more suggestive of hyperthyroidism or other metabolic conditions, not hypothyroidism.
Correct Answer is B
Explanation
Rationale:
A. Intussusception occurs when one segment of the intestine telescopes into another, causing obstruction, but it is not related to innervation defects.
B. Hirschsprung's disease is a congenital condition characterized by the absence of ganglion cells in segments of the colon, leading to decreased peristalsis and functional obstruction of the large intestine.
C. Gastroschisis is a congenital abdominal wall defect where the intestines protrude outside the abdomen; it is not caused by lack of innervation.
D. Crohn's disease is an inflammatory bowel disease that occurs later in life and is not congenital or caused by missing innervation.
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