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 D
Explanation
Choice A rationale
Necrosis is tissue death resulting from prolonged pressure, often a consequence rather than the direct cause of pressure ulcers. The primary cause is sustained pressure impairing blood flow.
Choice B rationale
Low capillary pressure does not directly cause pressure ulcers. They result from sustained external pressure exceeding capillary perfusion pressure, leading to ischemia and tissue damage.
Choice C rationale
Increased mobility actually prevents pressure ulcers by reducing sustained pressure on any one area, enhancing blood flow and tissue health. Immobility is a significant risk factor, not increased mobility.
Choice D rationale
Extrinsic factors like sustained pressure, friction, shear, and moisture contribute directly to pressure ulcer development by compromising skin integrity and blood flow, leading to tissue ischemia and damage.
Correct Answer is D
Explanation
Choice A rationale
Water or saline baths can help soothe skin but are not typically prescribed for psoriasis as a therapeutic measure.
Choice B rationale
Sodium bicarbonate baths are often used for itching and skin irritation but are not specifically recommended for psoriasis.
Choice C rationale
Colloids like oatmeal can be soothing for skin conditions, but they do not have the therapeutic properties needed for treating psoriasis flares.
Choice D rationale
Medicated tars are commonly used in the treatment of psoriasis because they can help reduce scaling, itching, and inflammation. They work by slowing the rapid growth of skin cells and are often prescribed for severe cases.
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