A nurse employed in a school suspects an outbreak of pediculosis.
Which of the following nursing actions should be taken to prevent and control the outbreak?

Improve the school hygiene.

Insist that everyone who is infested with lice follows the prescribed treatment.

Wash clothing and vacuum furniture, bedding, and carpets.

Perform hair inspection.

Answer and Explanation

Correct Answer : B,C,D

Choice A rationale

Improving school hygiene is essential for overall health but is not a direct method for preventing and controlling an outbreak of pediculosis. Lice infestations require specific targeted actions to be effectively managed, such as treating those infested and cleaning their belongings.

Choice B rationale

Insisting that everyone who is infested with lice follows the prescribed treatment is crucial for controlling the outbreak. Effective treatment eradicates lice and prevents their spread to others. Consistency in following the prescribed regimen is essential for successful management.

Choice C rationale

Washing clothing and vacuuming furniture, bedding, and carpets are vital steps in controlling lice outbreaks. Lice can survive on these items, leading to reinfestation. Thorough cleaning removes lice and their eggs, helping to prevent the spread and recurrence of infestation.

Choice D rationale

Performing hair inspection helps identify individuals who are infested with lice. Early detection allows for prompt treatment, which is critical in preventing the spread of lice to others. Regular inspections are a proactive measure in managing and controlling outbreaks.

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Correct Answer is D

Explanation

Choice A rationale

The spinal accessory nerve (cranial nerve XI) controls the sternocleidomastoid and trapezius muscles, which are responsible for movements of the head and shoulders. Dysfunction in this nerve would not affect the gag reflex.

Choice B rationale

The acoustic nerve (cranial nerve VIII) is responsible for hearing and balance. Dysfunction in this nerve would lead to hearing loss and balance issues, not an absent gag reflex.

Choice C rationale

The facial nerve (cranial nerve VII) controls muscles of facial expression and functions in the conveyance of taste sensations from the anterior two-thirds of the tongue. Dysfunction here results in facial paralysis or weakness but not in the absence of a gag reflex.

Choice D rationale

The vagus nerve (cranial nerve X) innervates muscles of the pharynx and larynx, which are involved in swallowing and the gag reflex. Dysfunction in the vagus nerve would result in an absent gag reflex, which is why the nurse determines this as the issue.

A. Position the client flat as directed. B. Leave the client to rest and do not perform any assessments. C. Provide caffeine-rich drinks to the client. D. Avoid administering analgesic agents to the client. E. Avoid administering analgesic agents to the client.

Correct Answer is A

Explanation

Choice A rationale

Positioning the client flat as directed is the priority intervention after a lumbar puncture to prevent cerebrospinal fluid (CSF) leakage, which can lead to a post-lumbar puncture headache. This position helps maintain normal CSF pressure and promotes sealing of the puncture site.

Choice B rationale

Leaving the client to rest without performing any assessments is not appropriate, as continuous monitoring is necessary to detect any complications such as bleeding or changes in neurological status. Regular assessments help ensure timely intervention if issues arise.

Choice C rationale

Providing caffeine-rich drinks is sometimes recommended to alleviate headaches caused by CSF leakage post-lumbar puncture. However, it is not the priority intervention immediately after the procedure, which focuses on positioning and monitoring.

Choice D rationale

Avoiding analgesic agents is incorrect. Pain management is an important aspect of care post-lumbar puncture, and appropriate analgesics should be administered as needed. The focus should be on positioning and monitoring, not withholding pain relief.

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A nurse employed in a school suspects an outbreak of pediculosis. Which of the following nursing actions should be taken to prevent and control the outbreak?

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Naxlex Comprehensive Predictor Exams

A client is being tested for a gag reflex. When the nurse places the tongue blade to the back of the throat, there is no response elicited. What dysfunction does the nurse determine the client has?

Correct Answer is D

Explanation

A client is weak and drowsy after a lumbar puncture. The nurse caring for the client knows that what priority nursing intervention should be provided after a lumbar puncture?

Correct Answer is A

Explanation

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A nurse employed in a school suspects an outbreak of pediculosis.
Which of the following nursing actions should be taken to prevent and control the outbreak?