A 7-year-old child is diagnosed with head lice.
In addition to applying a pediculicide, which instruction should the nurse provide to the parents?
Wash all bedding and recently worn clothing in hot water.
Seal non-washable items in a plastic bag for 2 weeks.
All of the above.
Notify the school so other children can be checked.
The Correct Answer is C
Choice A rationale
Washing bedding and recently worn clothing in hot water (above 54°C or 130°F) helps to kill lice and their nits (eggs) that may be present on these items, preventing re-infestation or spread to others. The heat denatures the proteins essential for the lice's survival.
Choice B rationale
Sealing non-washable items in a plastic bag for 2 weeks suffocates any lice and allows any hatched nymphs to die due to lack of a blood meal. Lice cannot survive for extended periods away from a human host.
Choice C rationale
Both washing bedding and clothing in hot water and sealing non-washable items are crucial steps in eliminating head lice and preventing recurrence or transmission. Therefore, all of the above instructions should be provided to parents.
Choice D rationale
Notifying the school allows for screening of other children and implementation of appropriate measures to prevent further spread of the head lice within the school environment. While important for public health, it is an action separate from the direct treatment and environmental control measures that parents should undertake at home.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Citrus foods are acidic and can irritate the esophagus, potentially worsening reflux symptoms in children with gastroesophageal reflux disease (GERD). Increasing citrus intake is generally not recommended.
Choice B rationale
Fatty foods tend to delay gastric emptying, which can increase the risk and duration of reflux episodes. Decreasing the intake of fatty foods can help reduce GERD symptoms by allowing the stomach to empty more quickly.
Choice C rationale
Spicy foods can irritate the lining of the esophagus and exacerbate reflux symptoms in individuals with GERD. Encouraging the consumption of spicy foods is generally contraindicated.
Choice D rationale
Fiber promotes healthy digestion and typically does not worsen GERD symptoms. In some cases, adequate fiber intake can even be beneficial. Limiting fiber intake is not a standard dietary recommendation for children with GERD.
Correct Answer is C
Explanation
Choice A rationale
Impetigo is a bacterial skin infection characterized by honey-crusted sores, often around the nose and mouth. While it can cause itching, the linear arrangement of papules is not typical of impetigo.
Choice B rationale
Tinea capitis is a fungal infection of the scalp, causing scaly, itchy patches and potential hair loss. It does not typically present as linear papules on the skin.
Choice C rationale
Scabies is an infestation caused by the Sarcoptes scabiei mite, which burrows under the skin, laying eggs and causing intense itching, often worse at night. The characteristic lesions are small, erythematous papules that frequently appear in linear patterns due to the mite burrowing. Close contact in crowded environments like daycare facilitates transmission.
Choice D rationale
Cellulitis is a bacterial infection of the deeper layers of the skin and subcutaneous tissue, characterized by redness, warmth, swelling, and pain. It does not typically present as small, linear papules. .
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