A nurse is caring for a client who has pruritus following treatment for scabies. Which of the following actions should the nurse take?
Encourage the client to gently rub the affected area.
Provide mittens for the client to wear at night.
Assist the client to take a hot shower.
Apply additional scabicide to the affected area.
The Correct Answer is B
Choice A rationale: Rubbing the affected area may exacerbate pruritus and potentially spread scabies.
Choice B rationale: Providing mittens can prevent the client from scratching the affected areas, promoting healing and preventing the spread of scabies.
Choice C rationale: Hot water can worsen itching and should be avoided in scabies management.
Choice D rationale: The application of scabicide should follow the prescribed treatment plan, and additional application without guidance may lead to overuse and potential adverse effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: individuals with extensive burn wounds are highly likely to develop metabolic acidosis and not metabolic alkalosis due to the increased risk of tissue hypoxia, increased lactic acid levels, and renal failure.
Choice B rationale: low hemoglobin is not an expected finding in individuals with extensive burn wounds but instead increased hemoglobin levels are expected due to hemoconcentration resulting from excessive fluid loss.
Choice C rationale: A patient with extensive burn wounds is expected to have hypovolemia and not hypervolemia due to increased fluid loss from the burned tissues and increased capillary permeability.
Choice D rationale: hyperkalemia is a common finding in individuals with extensive burn wounds due to massive cell destruction which releases potassium from the intracellular compartment to the extracellular compartment.
Correct Answer is B
Explanation
Choice A rationale: While herpes simplex virus type 2 (HSV-2) is more commonly associated with genital herpes, HSV-1 can also cause genital lesions.
Choice B rationale: Herpes simplex virus type 1 (HSV-1) typically causes oral lesions, commonly known as cold sores or fever blisters. Recurrence of HSV-1 lesions is most likely to occur on or around the mouth.
Choice C rationale: Recurrence of HSV-1 lesions is not typically found on the extremities.
Choice D rationale: HSV-1 lesions are not commonly found on the scalp.
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