A client with a recent diagnosis of scabies will need what education?

Scabies cannot be cured, but may be controlled with steroid cream

Treatment must start within 72 hours of symptoms

Wash clothes, towels, and sheets in hot water

Reducing intake of refined sugar will decrease risk of scabies

Avoid close contact with others until treated

Answer and Explanation

The Correct Answer is C

Choice A reason: Scabies can be cured with prescription medications that kill the mites and their eggs, such as permethrin cream or ivermectin pills. Steroid cream may help to reduce the itching and inflammation, but it does not eliminate the infection.

Choice B reason: Treatment should start as soon as possible after the diagnosis of scabies, but there is no specific time limit of 72 hours. The sooner the treatment begins, the faster the symptoms will improve and the risk of transmission will decrease.

Choice C reason: Washing clothes, towels, and sheets in hot water is an important part of the education for a client with scabies, as it helps to get rid of any mites or eggs that may have been transferred to the fabrics. The items should also be dried in a hot dryer or sealed in a plastic bag for at least 72 hours.

Choice D reason: Reducing intake of refined sugar has no effect on the risk of scabies, as scabies is not caused by dietary factors, but by a parasitic infestation of the skin by the Sarcoptes scabiei mite. The mite is transmitted by direct skin-to-skin contact or by sharing personal items with an infected person.

Choice E reason: Avoiding close contact with others until treated is another key part of the education for a client with scabies, as it helps to prevent the spread of the infection to other people. The client should also inform their household members, sexual partners, and close contacts, as they may need to be treated as well.

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Correct Answer is C

Explanation

Choice A reason: Administering pain medication as ordered is not the best action, as it does not address the cause of the new onset of pain. The nurse should first assess the client and the surgical site to rule out any complications or problems that may require immediate intervention.

Choice B reason: Assessing the client for signs and symptoms of systemic infection is not the best action, as it is not the most likely cause of the new onset of pain. Systemic infection would manifest with fever, chills, malaise, or leukocytosis, which are not mentioned in the scenario. The nurse should focus on the local signs and symptoms of the surgical site and the affected extremity.

Choice C reason: Assessing the surgical site and the affected extremity is the best action, as it allows the nurse to identify any potential complications or problems that may explain the new onset of pain. The nurse should look for signs of infection, inflammation, bleeding, hematoma, or dislocation of the hip prosthesis, such as redness, swelling, warmth, drainage, bruising, or deformity.

Choice D reason: Reassuring the client that pain is a direct result of increased activity is not the best action, as it may dismiss the client's concern and delay the detection of any serious complications or problems. The nurse should not assume that the pain is normal or expected, but rather investigate the cause and severity of the pain.

Choice E reason: Notifying the surgeon immediately is not the best action, as it is premature and unnecessary without first assessing the client and the surgical site. The nurse should gather relevant data and information before contacting the surgeon, unless there is an obvious or urgent problem that requires immediate attention.

A. Corticosteroids B. Resting the affected extremity C. Applying ice D. Massage E. Compression dressings

Correct Answer is B

Explanation

Choice A reason: Corticosteroids are not a common treatment modality for contusions, strains, or sprains. They are anti-inflammatory drugs that may be used for chronic conditions such as arthritis, asthma, or allergies, but they have side effects such as weakening the immune system, increasing the risk of infection, and delaying wound healing.

Choice B reason: Resting the affected extremity is a common treatment modality for contusions, strains, or sprains. It helps to reduce pain, swelling, and inflammation, and to prevent further injury or damage to the tissues.

Choice C reason: Applying ice is a common treatment modality for contusions, strains, or sprains, but only for the first 24 to 48 hours after the injury. It helps to reduce pain, swelling, and inflammation by constricting the blood vessels and decreasing the blood flow to the injured area. After 48 hours, heat may be applied to increase the blood flow and promote healing.

Choice D reason: Massage is not a common treatment modality for contusions, strains, or sprains. It may be beneficial for some chronic musculoskeletal conditions, but it should be avoided for acute injuries as it may increase the pain, swelling, and inflammation by stimulating the blood flow and aggravating the damaged tissues.

Choice E reason: Compression dressings are a common treatment modality for contusions, strains, or sprains. They help to reduce pain, swelling, and inflammation by applying pressure to the injured area and limiting the movement of the tissues. They also provide support and stability to the affected extremity.

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A client with a recent diagnosis of scabies will need what education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a total hip replacement is progressing well and expects to be discharged tomorrow. On returning to bed after ambulating, he complains of a new onset of pain at the surgical site. What is the nurse's best action?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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