A 3-year-old boy in a daycare facility scratches his head frequently, and the nurse confirms the presence of head lice. The nurse washes the child's hair with permethrin shampoo and calls his parents.

Which instruction should the nurse provide to the parents about treatment for head lice?

Take the child to a hair salon for a shampoo and a shorter haircut.

Dispose of the child's brushes, combs, and other hair accessories.

Rewash the child's hair following a 24-hour isolation period.

Wash the child's bed linens and clothing in hot soapy water.

Answer and Explanation

The Correct Answer is D

The nurse should instruct the parents to wash the child's bed linens and clothing in hot soapy water to kill any remaining head lice and prevent reinfestation. The child's brushes, combs, and other hair accessories should also be washed in hot soapy water or disposed of. Taking the child to a hair salon for a shampoo and a shorter haircut is not necessary for treatment of head lice. Rewashing the child's hair following a 24-hour isolation period is not necessary if the permethrin shampoo has been used as directed.

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Correct Answer is A

Explanation

Children with autism spectrum disorder may have difficulty with sensory processing, social interactions, and communication, which can contribute to feeding difficulties and failure to thrive. Providing structured meal times is an important intervention to help establish a routine and promote consistency and predictability.

Structured meal times involve setting a specific time for meals and snacks, providing a calm and quiet environment, and limiting distractions. This can help the child focus on the task of eating and reduce sensory overload that may interfere with feeding. The nurse should also ensure that the child is seated comfortably and at an appropriate height for feeding.

Oﬀering food even if disinterested (B), incorporating play during meals (C), and allowing multiple food choices (D) are not necessarily helpful interventions for a toddler with autism spectrum disorder and failure to thrive. Oﬀering food when the child is not interested may reinforce negative feeding behaviors and can contribute to further feeding difficulties. Incorporating play during meals may distract the child from the task of eating and can be counterproductive. Allowing multiple food choices can be overwhelming for the child and may not promote a consistent and structured feeding routine.

Therefore, the nurse should prioritize providing structured meal times as an important intervention for promoting feeding and growth in a toddler with autism spectrum disorder and failure to thrive.

A. Discontinue the ointment once drainage resolves. B. Prepare the child for blurry vision after ointment application. C. Use a disposable moist wipe to remove eye crusts. D. Remove secretions by wiping toward the opposite eye.

Correct Answer is B

Explanation

When using an ophthalmic anti-infective ointment, it is important to prepare the child for blurry vision after ointment application. This is because the ointment can temporarily blur vision after application. It is important to follow the instructions on the medication label and continue using the ointment for the full course of treatment, even if symptoms improve before then ¹.

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A 3-year-old boy in a daycare facility scratches his head frequently, and the nurse confirms the presence of head lice. The nurse washes the child's hair with permethrin shampoo and calls his parents. Which instruction should the nurse provide to the parents about treatment for head lice?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a toddler with autism spectrum disorder and failure to thrive. Which intervention should the nurse implement?

Correct Answer is A

Explanation

The nurse is caring for a school-age child with crusting and swollen eyelids, purulent drainage, and inﬂamed conjunctiva. The child receives a prescription for an ophthalmic anti-infective ointment. Which instruction should the nurse provide the child's caregivers during discharge education?

Correct Answer is B

Explanation

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A 3-year-old boy in a daycare facility scratches his head frequently, and the nurse confirms the presence of head lice. The nurse washes the child's hair with permethrin shampoo and calls his parents.

Which instruction should the nurse provide to the parents about treatment for head lice?