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 A
Explanation
Choice A rationale
The frontal lobe is responsible for various high-level cognitive functions, including the regulation of emotions and affect. It plays a crucial role in personality expression, decision-making, and moderating social behavior. Damage or dysfunction in the frontal lobe can lead to changes in personality and affect, including a flat affect.
Choice B rationale
The occipital lobe is primarily responsible for processing visual information. It is located at the back of the brain and is not involved in regulating emotions or affect. Therefore, it does not play a role in the client’s flat affect.
Choice C rationale
The parietal lobe is involved in processing sensory information such as touch, temperature, and pain. It also plays a role in spatial orientation and motor control. However, it is not directly involved in regulating emotions or affect. Thus, it does not contribute to the client’s flat affect.
Choice D rationale
The temporal lobe is involved in processing auditory information and is critical for memory and language comprehension. While it plays a role in emotion processing, it is not the primary lobe responsible for affect. The frontal lobe has a more direct impact on emotional regulation and affect.
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