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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Client who is ambulatory demonstrating a steady gait is not a priority for the nurse. This client is stable and does not require immediate intervention.
Choice B reason: Client scheduled for physical therapy for the first crutch-walking session is not a priority for the nurse. This client is not in acute distress and can wait for the physical therapist to assist them.
Choice C reason: Postoperative client who has just received an opioid pain medication is not a priority for the nurse. This client is expected to have pain relief from the medication and can be monitored for adverse effects later.
Choice D reason: Client with onset of new chest pain is the priority for the nurse. This client is potentially experiencing a life-threatening condition such as a myocardial infarction or a pulmonary embolism. The nurse should assess the client's vital signs, oxygen saturation, and electrocardiogram, and administer oxygen, nitroglycerin, and aspirin as ordered.
Correct Answer is C
Explanation
Choice A reason: Rosacea is not a parasitic skin infestation, but a chronic inflammatory skin condition that causes redness, flushing, and bumps on the face.
Choice B reason: Pediculosis corporis is a parasitic skin infestation caused by body lice, but it is not the only one. The question asks for what the student should include in the presentation, not what is the most common or severe type of parasitic skin infestation.
Choice C reason: Sarcoptes scabiei is a parasitic skin infestation caused by scabies mites, which burrow into the skin and cause intense itching, rash, and secondary infections. This is a correct choice to include in the presentation, as scabies is a common and contagious condition that affects people of all ages and backgrounds.
Choice D reason: Furuncles are not a parasitic skin infestation, but a bacterial infection of the hair follicles that causes painful, pus-filled boils on the skin.
Choice E reason: Impetigo is not a parasitic skin infestation, but a bacterial infection of the skin that causes red, oozing, and crusted sores.
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