A nurse is preparing to administer an oral medication to a preschooler. Which of the following actions should the nurse take to encourage acceptance of the medication?

Rationale:

A. Scaly lesions on the inner thighs are not typically characteristic of scabies. Scabies lesions are often burrow-like and appear as small, raised, grayish-white or skin- colored lines, not scaly.

B. A rash with red macular lesions on the scalp is not characteristic of scabies.

Scabies lesions typically occur in areas with thin skin, such as the webs of fingers, wrists, elbows, axillary folds, waistline, buttocks, and genitalia.

C. A bull's eye edematous area on the groin is not characteristic of scabies. Scabies lesions usually present as small, raised, grayish-white or skin-colored lines or bumps, not as bull's eye patterns.

D. Maculopapular skin burrows on the hand are a classic manifestation of scabies.

Scabies mites burrow into the skin to lay eggs, causing raised, linear, erythematous, and excoriated lesions, which may appear as small papules or vesicles with a surrounding erythematous flare.

Rationale:

A. Cyanosis can occur in children with heart failure due to inadequate oxygenation of tissues.

B. Weight gain or fluid retention is more common in children with heart failure.

C. Bounding pulses are more commonly associated with conditions such as hypertension or hyperthyroidism, rather than heart failure.

D. Dyspnea, or difficulty breathing, is a common symptom of heart failure due to fluid buildup in the lungs.

E. Tachycardia, or a rapid heart rate, can occur as a compensatory mechanism in response to decreased cardiac output in heart failure.