A nurse discovers scabies when assessing a client who has just been transferred to the medical-surgical unit from the day surgery unit.
To prevent scabies infection in other clients, the nurse should:
Wash hands, apply a pediculicide to the client's scalp, and remove any observable mites.
Place the client on enteric precautions.
Isolate the client's bed linens until the client is no longer infectious.
Notify the nurse in the day surgery unit of a potential scabies outbreak.
The Correct Answer is C
Choice A rationale
Pediculicides are used to treat lice, not scabies. Proper hand hygiene is important, but applying pediculicide is not necessary for scabies management.
Choice B rationale
Enteric precautions are for infections transmitted via the fecal-oral route, not for scabies, which requires contact precautions.
Choice C rationale
Isolating the client's bed linens and applying contact precautions help prevent the spread of scabies to other clients.
Choice D rationale
Notifying the day surgery unit of a potential scabies outbreak is important, but it does not directly prevent infection in other clients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Dysfunction in the cerebrum would likely result in different types of posturing, such as decorticate posturing, rather than decerebrate. The cerebrum is involved in controlling voluntary motor functions and damage here typically does not lead to decerebrate posturing.
Choice B rationale
Dysfunction in the brain stem results in decerebrate posturing, characterized by rigid extension of the arms and legs, downward pointing of the toes, and backward arching of the head. The brain stem is crucial for controlling basic life functions and its impairment leads to severe motor response issues.
Choice C rationale
Dysfunction in the spinal column typically does not lead to decerebrate posturing but may lead to different types of paralysis or movement issues depending on the location and severity of the damage.
Choice D rationale
Dysfunction in the motor cortex usually leads to abnormalities in voluntary movement, muscle tone, and coordination rather than decerebrate posturing which is more linked to brain stem issues.
Correct Answer is A
Explanation
Choice A rationale
Mixed muscular dystrophy leads to progressive deterioration in all voluntary muscles, causing increasing disability over time.
Choice B rationale
This statement is incorrect because mixed muscular dystrophy affects more than just the arms and pelvic muscles and leads to significant disability.
Choice C rationale
This is not an appropriate response as it does not provide any information and deflects the client's question.
Choice D rationale
Mixed muscular dystrophy is not considered benign, as it causes significant and progressive muscle deterioration.
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