A nurse is providing teaching to the guardian of a toddler who has scabies. Which of the following statements should the nurse include in the teaching?
"You will need to give your child a course of corticosteroids."
"Your entire home will need to be thoroughly cleaned."
"Any person who has been in close contact with the child needs treatment."
"Place your nonwashable items in sealed plastic bags for up to 5 days."
The Correct Answer is C
A. "You will need to give your child a course of corticosteroids." Corticosteroids are not used to treat scabies. Treatment involves topical permethrin cream or oral ivermectin, not steroids.
B. "Your entire home will need to be thoroughly cleaned." While cleaning bedding, clothing, and personal items is important, a full deep-cleaning of the home is not necessary because mites do not survive long away from human skin.
C. "Any person who has been in close contact with the child needs treatment." Scabies is highly contagious, and all household members and close contacts should be treated simultaneously to prevent reinfestation.
D. "Place your nonwashable items in sealed plastic bags for up to 5 days." Scabies mites can survive off the body for up to 3 days, so items should be bagged for at least 3 days, not 5.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I will start sending my toddler to daycare once the baby is born." Introducing major changes, like starting daycare, immediately after a new sibling's arrival may cause stress and feelings of rejection. If a change is necessary, it should be introduced well before the baby arrives to allow the toddler time to adjust.
B. "I will anticipate that my toddler might demand to have their pacifier again once their sibling is born." Regression is a common response in toddlers when a new sibling arrives. They may return to earlier behaviors such as wanting a pacifier, asking to be bottle-fed, or having potty-training setbacks. Parents should offer reassurance and patience rather than discouraging these behaviors.
C. "I will tell my toddler now about the date their sibling will arrive." Toddlers have a limited understanding of time, so telling them too early can lead to confusion and anxiety. Instead, parents should introduce the idea gradually and use tangible events (e.g., "When the leaves start falling, the baby will be here").
D. "I will tell my toddler the baby will be their new playmate." A newborn will not be an immediate playmate, and telling a toddler this may lead to disappointment or frustration. Instead, parents should explain that newborns need a lot of care but will grow and play later.
Correct Answer is C
Explanation
A. "You will need to give your child a course of corticosteroids." Corticosteroids are not used to treat scabies. Treatment involves topical permethrin cream or oral ivermectin, not steroids.
B. "Your entire home will need to be thoroughly cleaned." While cleaning bedding, clothing, and personal items is important, a full deep-cleaning of the home is not necessary because mites do not survive long away from human skin.
C. "Any person who has been in close contact with the child needs treatment." Scabies is highly contagious, and all household members and close contacts should be treated simultaneously to prevent reinfestation.
D. "Place your nonwashable items in sealed plastic bags for up to 5 days." Scabies mites can survive off the body for up to 3 days, so items should be bagged for at least 3 days, not 5.
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