A nurse is reinforcing teaching with a parent of a child who has pediculosis capitis. Which of the following instructions should the nurse include?
Discard child's stuffed animals.
Use over the counter (OTC) medication containing 1% Permethrin.
Apply mayonnaise to the affected area at night.
Treat all pets.
The Correct Answer is B
A. It is not necessary to throw away stuffed animals. Instead, items that cannot be washed can be sealed in an airtight plastic bag for 14 days, which suffocates any surviving lice. Discarding them is unnecessary and creates avoidable expense.
B. 1% permethrin (Nix) is the recommended first-line treatment for pediculosis capitis. It kills live lice and offers residual protection for several days. After treatment, the parent should also use a fine-toothed comb to remove nits from the hair shaft.
C. Home remedies such as mayonnaise, petroleum jelly, or oils are not evidence-based and do not reliably kill lice or nits. They are not recommended by pediatric or public health guidelines.
D. Head lice are human parasites and cannot survive on pets. Treating animals is unnecessary and has no effect on controlling or eliminating lice infestations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Rotating injection sites within the same general area helps prevent lipohypertrophy, which is the development of fatty lumps due to repeated insulin injections in the same spot. Proper rotation ensures consistent absorption of insulin and maintains skin integrity. Common rotation sites include the abdomen, thighs, upper arms, and buttocks.
B. Insulin is absorbed most rapidly from the abdomen, followed by the arms, thighs, and buttocks. Injecting into the thigh results in slower absorption, which can affect glycemic control if timing is critical, such as before meals.
C. Insulin should be allowed to reach room temperature before injection. Cold insulin can increase discomfort and pain at the injection site. Letting insulin warm slightly reduces injection pain and makes administration easier.
D. Massaging the injection site is not recommended, as it can alter insulin absorption, cause bruising, or irritation, and may contribute to tissue trauma. Insulin should be injected and left undisturbed for proper absorption.
Correct Answer is B
Explanation
A. Seborrheic dermatitis, especially in infants (cradle cap), is usually self-limiting and often resolves on its own with appropriate skin care and medicated shampoos. It can generally be cured or cleared rather than managed long-term.
B. Atopic dermatitis (eczema) is a chronic, relapsing inflammatory skin condition. It cannot be cured, but symptoms can be well controlled with strategies such as moisturizers, topical corticosteroids, antihistamines, avoiding triggers, and gentle skin care. Management focuses on preventing flare-ups and reducing itching and inflammation.
C. Diaper dermatitis is usually acute and treatable. With frequent diaper changes, barrier creams, and proper hygiene, it can be resolved quickly and does not require long-term management in most cases.
D. Contact dermatitis is caused by exposure to an irritant or allergen. It can often be cured or cleared by avoiding the trigger and using topical treatments, such as corticosteroids, rather than requiring lifelong management.
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